Results
We observed that 21 patients with acute CVE were identified during the clinical and echocardiographic examination, and exercise stress test. Acute coronary syndromes (ACS) and new onset LBBB on stress test are the predominantly encountered CVEs in patients >35 years old while decompensated heart failure with reduced ejection fraction, pneumothorax mostly observed in patients <35 years old. Patients were mostly transferred initially to the ER and then the coronary care unit of a tertiary health service.
Conclusion
Cardiovascular Emergencies including acute coronary syndrome or new onset left bundle branch block, symptomatic hypotension, and etc. could be presented directly to the cardiology polyclinic or develop de novo during the exercise test unit. Subsequently they should be initially intervened and managed in polyclinic by acute medication or CPR, and transfer to ER or CCU. Utility of ECG and echocardiography either alone or in combination just during the initial examination and interrogation of a symptomatic patient will be preferred rather than giving an appointment to them. Localization of cardiology outpatient services next to the ER and/or CCU will improve the effectiveness of initial management of patients who admitted with potentially lethal CVEs. Additionally cardiology polyclinics should have the capability and instrumentation to apply a medical and interventional resuscitation.
