Skip to main content
SpringerLink
Log in
Book cover

Echocardiography in the CCU pp 3–26Cite as

Echocardiographic Assessment of Acute Chest Pain in the CCU

  • Chapter
  • First Online:

  • 1550 Accesses

Abstract

The field of critical care cardiology has evolved considerably over the past few decades. Cardiac units in the 1970s and the 1980s were practically coronary care units, where the units most frequently were populated by patients with acute and often uncomplicated myocardial infarction or unstable angina. Detection and rapid treatment of arrhythmias were the primary goals of therapy. Contemporary cardiac care units (CCU) have transformed into Cardiac intensive care units (CICU) where the focus has since shifted towards the management of patients with multisystem diseases, advanced hemodynamics compromise, complex ventricular arrhythmias, and established or incipient multi-organ failure. The two most common clinical scenarios leading to acute chest pain syndrome in CCU patients are acute coronary syndrome and acute aortic syndrome.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Lancellotti P, Price S, Edvardsen T, et al. The use of echocardiography in acute cardiovascular care: recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association. Eur Heart J Cardiovasc Imaging. 2015;16(2):119–46.

    Article  PubMed  Google Scholar 

  2. Panjrath GS, Herzog E, Chaudhry F. Introduction: acute coronary syndrome and echocardiography. In: Herzog E, Chaudhry F, editors. Echocardiography in ACS from prevention to diagnosis and treatment. London: Springer; 2009. p. 1–4.

    Google Scholar 

  3. Saric M. Echo assessment of systolic and diastolic function in acute coronary syndrome. In: Herzog E, Chaudhry F, editors. Echocardiography in ACS from prevention to diagnosis and treatment. London: Springer; 2009. p. 37–57.

    Google Scholar 

  4. Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015;28:1–39.

    Article  Google Scholar 

  5. Multicenter Postinfarction Research Group. Risk stratification and survival after myocardial infarction. N Engl J Med. 1983;49(6):331–6.

    Article  Google Scholar 

  6. Carlson MD, Krishen A. Risk assessment for ventricular arrhythmias after extensive myocardial infarction: what should I do? ACC Curr J Rev. 2003;12(2):90–3.

    Article  Google Scholar 

  7. Ansari A, Puthumana J. The “Ischemic Cascade”. In: Herzog E, Chaudhry F, editors. Echocardiography in ACS from prevention to diagnosis and treatment. London: Springer; 2009. p. 149–60.

    Google Scholar 

  8. Hauser AM, Vellappillil G, Ramos RG, et al. Sequence of mechanical, electrocardiographic and clinical effects of repeated coronary artery occlusion in human beings: echocardiographic observations during coronary angioplasty. J Am Coll Cardiol. 1985;5:193–7.

    Article  CAS  PubMed  Google Scholar 

  9. Nesto RW, Kowalchuk MD. The ischemic cascade: temporal sequence of hemodynamic, electrocardiographic and symptomatic expressions of ischemia. Am J Cardiol. 1987;57:23C–4C.

    Article  Google Scholar 

  10. Amsterdam EA, Wenger NK, Brindis RG, et al. AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cariology/American Heart Association Task Force on Practice Guideline. J Am Coll Cardiol. 2014;64:e139–228.

    Article  PubMed  Google Scholar 

  11. Roffi M, Patrono C, Collet JP, et al. ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J. 2016;37:267–315.

    Article  CAS  PubMed  Google Scholar 

  12. Becker RC, Gore JM, Lambrew C, et al. for the National Registry of Myocardial Infarction Participants. A composite view of cardiac rupture in the United States National Registry of Myocardial Infarction. J Am Coll Cardiol. 1996;27:1321.

    Article  CAS  PubMed  Google Scholar 

  13. Birnbaum Y, Fishbein MC, Blanche C, Siegel RJ. Ventricular septal rupture after acute myocardial infarction. N Engl J Med. 2002;347(18):1426–32.

    Article  PubMed  Google Scholar 

  14. Buda AJ. The role of echocardiography in the evaluation of mechanical complications of acute myocardial infarction. Circulation. 1991;84(3 Suppl):109–21.

    Google Scholar 

  15. Kinch JW, Ryan TJ. Right ventricular infarction. N Engl J Med. 1994;34:1211–9.

    Article  Google Scholar 

  16. Tcheng JE, Jackman JD, Nelson CL, et al. Outcome of patients sustaining acute ischemic mitral regurgitation during myocardial infarction. Ann Intern Med. 1992;117:18.

    Article  CAS  PubMed  Google Scholar 

  17. Frances C, Romero A, Grady D. Left ventricular pseudoaneurysm. J Am Coll Cardiol. 1998;32:557.

    Article  CAS  PubMed  Google Scholar 

  18. Vilacosta I, San Roman JA. Acute aortic syndrome. Heart. 2001;85:365–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Hagan PG, Nienaber CA, Isselbacher EM, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000;283:897–903.

    Article  CAS  PubMed  Google Scholar 

  20. Hiratzka LF, Bakris GL, Beckman JA, et al. ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. J Am Coll Cardiol. 2010;55:e27–e129.

    Article  PubMed  Google Scholar 

  21. Debakey ME, Henly WS, Cooley DA, Morris GC Jr, Crawford ES, Beall AC Jr. Surgical management of dissecting aneurysms of the aorta. J Thorac Cardiovasc Surg. 1965;49:14–49.

    Google Scholar 

  22. Daily PO, Trueblood HW, Stinson EB, Wuerflein RD, Shumway NE. Management of acute aortic dissections. Ann Thorac Surg. 1970;10:237–47.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Mount Sinai St. Luke’s Hospital, New York, NY, USA

    Eyal Herzog, Jagat Narula & Edgar Argulian

Authors
  1. Eyal Herzog
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jagat Narula
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Edgar Argulian
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Eyal Herzog .

Editor information

Editors and Affiliations

  1. Mount Sinai St Luke’s Hospital, New York, New York, USA

    Eyal Herzog

  2. Mount Sinai St Luke’s Hospital, New York, New York, USA

    Edgar Argulian

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Herzog, E., Narula, J., Argulian, E. (2018). Echocardiographic Assessment of Acute Chest Pain in the CCU. In: Herzog, E., Argulian, E. (eds) Echocardiography in the CCU. Springer, Cham. https://doi.org/10.1007/978-3-319-90278-4_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-90278-4_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-90277-7

  • Online ISBN: 978-3-319-90278-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation