Titlebook: Cardiology in the ER; A Practical Guide Carlos Jerjes-Sánchez Book 2019 Springer Nature Switzerland AG 2019 Acute patient care.Cardiology i

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,Pulmonary Embolism in the?ER,lood pressure cannot exclude impending clinical instability and in-hospital poor outcome in submassive pulmonary embolism. We suggest a multimodal approach to identify right ventricular dysfunction. A normal electrocardiogram or chest X-ray is unlikely in submassive or massive pulmonary embolism. Cl

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,Hypertensive Crisis in the?ER,Treatment should be oriented to tailor goals of clinical context, as some of the causes require a more rapid lowering of blood pressure. A hypertensive emergency should prompt a decrease of the mean arterial pressure by 25% within minutes and up to 2?h with an intravenous agent and should be observe

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,Tachyarrhythmias in the?ER,tricular tachycardia, especially in patients over 40?years and major risk factors to coronary artery disease. The initial treatment in stable patients with supraventricular tachycardia is vagal maneuvers and/or adenosine in bolus, which is effective to stop the arrhythmia and to figure out the auric

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Bradyarrhythmia in the ER,pinal cord injury are clinical conditions that can be specifically treated with aminophylline. Pacing is the final treatment option in acute algorithm treatment, and transcutaneous pacing is the modality of choice in the initial approach to this therapy avoiding delay in the pacing treatment. Progno

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,Cardiac Arrest in the?ER, that should make clinicians suspect a patient to be at increased risk for cardiac arrest. This section will provide tools that can aid in readily detecting and treating high-risk patients, allowing the clinician to promptly screen, monitor, and treat the patient, resulting in the prevention and opp

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,Prosthetic Valve Thrombosis in the?ER,e presence of partial or severe PVT, previous left ventricular ejection fraction, or thromboembolism location. Severe obstruction is typically associated with clinical instability, whereas partial obstruction is often an incidental finding or presents itself as minor thromboembolism. Thrombosis of a