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Acute cardiology 

Acute cardiology
Acute cardiology

Kenneth McKinlay

and Naomi Johnston

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date: 24 September 2020

This chapter considers the critical care management of three cardiological emergencies: out-of-hospital cardiac arrest, endocarditis, and aortic dissection. It describes the post-cardiac care bundle for out-of-hospital arrest patients and the use of therapeutic hypothermia. It discusses endocarditis in terms of predisposing factors, microbiology, presentation, diagnosis, management, prophylaxis, and prognosis. It discusses aortic dissection in terms of risk factors, causes, classification, presentation, diagnosis, and initial management. Finally it outlines the principles of anaesthesia for operative repair of aortic dissection including deep hypothermic circulatory arrest and immediate postoperative care.

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