Cardiology in the ER A Practical Guide
This book provides a guide for the management of patients with cardiovascular emergencies in the ER. It covers a broad range of the most important and frequent acute cardiovascular events including coronary syndromes, aortic syndromes, pulmonary embolism,
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Cardiology in the ER
Carlos Jerjes-Sánchez
Cardiology in the ER A Practical Guide
Carlos Jerjes-Sánchez Instituto de Cardiología y Medicina Vascular TecSalud, Hospital Zambrano Hellion Escuela de Medicina y Ciencias de la Salud Tecnológico de Monterrey San Pedro Garza García Nuevo León México
ISBN 978-3-030-13678-9 ISBN 978-3-030-13679-6 (eBook) https://doi.org/10.1007/978-3-030-13679-6 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
For my beloved family, my dear wife Alicia and my two dear children, Carlos and Alicia, thank you for accompanying me in this life and to the time we have spent together
Preface
The book Cardiology in the ER attempts to link advances made in the management of patients with cardiovascular emergencies. The main characteristic of the last decade was the acquisition of new knowledge and technologic advances to improve patients’ care in the emergency room. In this book, we cover the broad spectrum of cardiovascular emergencies and highlight a practical approach to patient assessment and therapy. The book was enriched with our 30-year experience in treating cardiovascular emergencies at large cardiology hospitals in Mexico, from 1982 to 1995 in the emergency room department in the Cardiology Hospital, National Medical Center, IMSS, Mexico City, and from 1996 to 2010 in the emergency room department in the Cardiology Hospital No. 34, IMSS, Monterrey City. In both hospitals, I had the opportunity to perform the first fast-track programs in cardiology hospitals on ST-elevation myocardial infarction and submassive and massive pulmonary embolism patients to perform systemic thrombolysis in 1 min In Table 1.1, charact
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