Cardiovascular Problems in Emergency Medicine

Shamai Grossman and Peter Rosen are both at Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts

List of Contributors vii

Acknowledgements xi

Preface xiii

Section One: Cardiac Ischemia

1 Chest Pain 3
Michael Bohrn, Amal Mattu and Brian Browne

2 Non-ST-Segment Elevations Myocardial Infarction 18
David Plitt and William J. Brady

3 ST-Segment Elevation Myocardial Infarction 38
David F. M. Brown

4 Unusual Causes of Myocardial Ischemia 54
Robin Naples and Richard Harrigan

Section Two: Cardiac Dysrhythmias

5 Bradyarrhythmias 71
Colleen Birmingham and Edward Ullman

6 Atrial Fibrillation 86
Kristen Cochran and Shamai Grossman

7 Supraventricular Tachycardia 97
Theodore Chan

8 The Differential Diagnosis of Wide Complex Tachycardia—ED Diagnostic and Management Considerations 108
Nathan Charlton and William J. Brady

9 Cardiac Arrest 123
Benjamin J. Lawner and Amal Mattu

10 Strategies in Out-of-Hospital Cardiac Arrest: Automatic External Defibrillator and Cardiopulmonary Resuscitation 138
Catherine Cleaveland and William J. Brady

11 Pacemakers and AICDS in Emergency Medicine 147
Theodore Chan

Section Three: Non Ischemic Cardiac Disease

12 Acute Heart Failure 163
Kevin Reed and Amal Mattu

13 Syncope 185
Shamai Grossman

14 Valvular Heart Disease 197
Jeffrey Soderman and Edward Ullman

15 Myocarditis 209
Jehangir Meer and Amal Mattu

16 Pericarditis 226
Theodore Chan

17 Cardiac Toxins and Drug-Induced Heart Disease 237
Jeffrey Green and Richard Harrigan

18 Cardiomyopathy 258
Alden Landry and Shamai Grossman

Section Four: Vascular Emergencies

19 Aortic Dissection 269
Keith A. Marill and David F. M. Brown

20 Abdominal Aortic Aneurysms 283
David A. Peak and David F. M. Brown

21 Hypertensive Emergencies 297
Russell Berger and Edward Ullman

Section Five: Cardiac Testing

22 The Electrocardiogram in Acute Coronary Syndromes 309
Laura Oh and William J. Brady

23 Cardiac Markers 326
J. Stephen Bohan

24 Stress Testing 337
Jefferson Williams and Shamai Grossman

25 Coronary Computed Tomography 349
J. Tobias Nagurney and David F. M. Brown

Section Six: Cardiac Surgery Complications

26 Postcardiac Surgery Emergencies 363
Jonathan Anderson and Shamai Grossman

27 Pediatric Cardiac Emergencies 372
Shannon Straszewski and Carrie Tibbles

Index 383