Central Venous Cannulation

Nov 3, 2017 by in CARDIOLOGY Comments Off on Central Venous Cannulation

Indications Infusion of vasoactive medications Inadequate peripheral access Right heart catheterization Administration of medication known to cause phlebitis Placement of pacing leads Plasmapheresis Monitoring of central venous pressure Hemodialysis Right…

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Temporary Transvenous Pacing

Nov 3, 2017 by in CARDIOLOGY Comments Off on Temporary Transvenous Pacing

  Normal AV conduction First-degree block Mobitz I second-degree block Mobitz II second-degree block Normal intraventricular conduction III III III IIa Old or new fascicular block III III III IIa…

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Pacemaker Interrogation and Programming

Nov 3, 2017 by in CARDIOLOGY Comments Off on Pacemaker Interrogation and Programming

Fig. 26.1 Pacemaker interrogation Technique Pacemaker interrogation can be performed in either the sitting or supine position. ECG surface leads should be connected to the patient and the programmer using…

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Endotracheal Intubation

Nov 3, 2017 by in CARDIOLOGY Comments Off on Endotracheal Intubation

Respiratory failure Pulmonary edema, excess secretions, atelectasis, acute respiratory distress syndrome, hypoventilation, neuromuscular failure Acute airway obstruction Laryngeal edema, laryngeal spasm, trauma, smoke inhalation, foreign body, hematoma, tumor, retropharyngeal abscess,…

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Transcatheter Aortic Valve Replacement

Nov 3, 2017 by in CARDIOLOGY Comments Off on Transcatheter Aortic Valve Replacement

Fig. 34.1 (a) Balloon expandable Edwards Sapien three valve (b) Fluoroscopic image of deployed Edwards Sapien three valve Fig. 34.2 (a) Medtronic Evolut R CoreValve (b) Fluoroscopic image of deployed…

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Single Photon Emission Computed Tomography

Nov 3, 2017 by in CARDIOLOGY Comments Off on Single Photon Emission Computed Tomography

1 Acute chest pain (or ischemic equivalent) after definite ACS is ruled out 2 In chronic stable chest pain, patients with intermediate to high pretest probability or low pre-test probability…

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Alcohol Septal Ablation

Nov 3, 2017 by in CARDIOLOGY Comments Off on Alcohol Septal Ablation

Fig. 31.1 Equipment/catheters used in alcohol septal ablation. TPM temporary pacemaker, CGC coronary guide catheter, PAC pulmonary artery catheter, CGW coronary guide wire, CBC coronary balloon catheter, Halo Halo left…

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Balloon Valvuloplasty

Nov 3, 2017 by in CARDIOLOGY Comments Off on Balloon Valvuloplasty

Fig. 33.1 Retrograde BAV. A curved giudewire is placed across the aortic valve into the left ventricular (LV) apex from the retrograde femoral arterial approach. A temporary pacemaker is used…

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Cardioversion and Defibrillation

Nov 3, 2017 by in CARDIOLOGY Comments Off on Cardioversion and Defibrillation

Reentrant (shockable) Ventricular fibrillation Most ventricular tachycardias Atrial fibrillation Atrial flutter AV reentrant tachycardia (AVRT) AV nodal reentrant tachycardia (AVNRT) SA nodal reentrant tachycardia Automatic (not shockable) Sinus tachycardia Junctional…

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Cardiac Pacemakers

Nov 3, 2017 by in CARDIOLOGY Comments Off on Cardiac Pacemakers

Indication Strength of indication Sinus node dysfunction with documented symptomatic bradycardia, including frequent sinus pauses that produce symptoms Class I Symptomatic chronotropic incompetence Class I Symptomatic sinus bradycardia that results…

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