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Cardiovascular Emergencies

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Principles of Adult Surgical Critical Care

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Abstract

Cardiovascular emergencies comprise a major source of morbidity and mortality for the surgical intensive care unit patient. Many of the diagnoses discussed below represent some of the few truly emergent situations in modern medicine in which a delay of literally minutes can hasten an adverse outcome. Moreover, the trend toward surgical intervention on patients who in the past years would have been considered too old or ill to undergo surgical intervention dictates that cardiovascular emergencies will remain a challenge for the surgical intensivist. We will discuss several scenarios, including acute myocardial infarction (AMI), pulmonary embolism (PE), cardiac tamponade, tension pneumothorax, aortic dissection, and mechanical complications of myocardial ischemia and infarction. The focus will be on diagnosis and early treatment of these life-threatening conditions.

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Authors and Affiliations

  1. Division of Cardiac Surgery, Johns Hopkins Hospital, Baltimore, MD, 21287, USA

    J. Trent Magruder MD & Glenn J. Whitman MD

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  1. J. Trent Magruder MD
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  2. Glenn J. Whitman MD
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Correspondence to J. Trent Magruder MD .

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  1. Trauma, Surgical Critical Care, Emergency Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Niels D. Martin

  2. Trauma, Surgical Critical Care, Emergency Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Lewis J. Kaplan

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Magruder, J.T., Whitman, G.J. (2016). Cardiovascular Emergencies. In: Martin, N.D., Kaplan, L.J. (eds) Principles of Adult Surgical Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-33341-0_9

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