The necessity of conversion from coronary care unit to the cardiovascular intensive care unit required for cardiologists

被引:6
作者
Nonogi, Hiroshi [1 ]
机构
[1] Shizuoka Prefectural Gen Hosp, Intens Care Ctr, Aoiku, 4-27-1 Kitaando, Shizuoka 4208527, Japan
关键词
Coronary care unit; Cardiovascular intensive care unit; Cardiogenic shock; Risk score; ELEVATION MYOCARDIAL-INFARCTION; HOSPITAL CARDIAC-ARREST; ACUTE HEART-FAILURE; CARDIOGENIC-SHOCK; GLOBAL REGISTRY; ST-ELEVATION; TASK-FORCE; THERAPEUTIC HYPOTHERMIA; NATRIURETIC PEPTIDE; RISK SCORE;
D O I
10.1016/j.jjcc.2018.10.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The in-hospital mortality rate of acute myocardial infarction (AMI) has dramatically decreased due to the treatment at the coronary care unit (CCU), especially with the progress of arrhythmia therapy and reperfusion therapy. On the other hand, severe heart failure and multiple organ failure are increasing due to aging populations and multiple organ diseases. As a result, patients with AMI without complications are less likely to be admitted to the CCU, and cardiologists staying in the CCU have also decreased. The mortality rate is high when complications such as cardiogenic shock, cardiac rupture, and in-hospital cardiac arrest occur in AMI, therefore careful intensive care even in low-risk AMI is necessary. For cardiologists, mechanical ventilation, renal replacement therapy, or infection control are necessary for cardiovascular intensive care, and integrated multidisciplinary care coordinated by skilled intensive care physicians, nurses, respiratory therapists, physiotherapists, pharmacists, nutritionists, social workers, and clinical engineers is important. Therefore, for the critical care of cardiovascular diseases, it is necessary to convert from CCU to the cardiovascular intensive care unit. (C) 2018 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:120 / 125
页数:6
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