The Genesis, Maturation, and Future of Critical Care Cardiology

被引:86
作者
Katz, Jason N. [1 ,2 ]
Minder, Michael [3 ]
Olenchock, Benjamin [4 ]
Price, Susanna [5 ,6 ]
Goldfarb, Michael [7 ]
Washam, Jeffrey B. [3 ]
Barnett, Christopher F. [8 ,9 ]
Newby, L. Kristin [3 ,9 ,10 ]
van Diepen, Sean [11 ,12 ]
机构
[1] Univ N Carolina, Sch Med, Div Cardiol, Chapel Hill, NC USA
[2] Univ N Carolina, Sch Med, Div Pulm & Crit Care Med, Chapel Hill, NC USA
[3] Duke Univ, Div Cardiol, Durham, NC USA
[4] Brigham & Womens Hosp, Div Cardiovasc Med, 75 Francis St, Boston, MA 02115 USA
[5] Royal Brompton Hosp, Div Cardiol, London SW3 6LY, England
[6] Royal Brompton Hosp, Div Crit Care, London SW3 6LY, England
[7] McGill Univ, Div Cardiol, Montreal, PQ, Canada
[8] Univ Calif San Francisco, Div Cardiol, San Francisco, CA USA
[9] NIH, Dept Crit Care Med, Bethesda, MD 20892 USA
[10] Duke Clin Res Inst, Durham, NC USA
[11] Univ Alberta Hosp, Div Cardiol, Edmonton, AB, Canada
[12] Univ Alberta Hosp, Div Crit Care, Edmonton, AB, Canada
基金
美国国家卫生研究院;
关键词
quality of care; research; training; INTENSIVE-CARE; ILL PATIENTS; MYOCARDIAL-INFARCTION; NURSE-PRACTITIONERS; AMERICAN-COLLEGE; TEMPORAL TRENDS; UNITED-STATES; TASK-FORCE; OUTCOMES; MORTALITY;
D O I
10.1016/j.jacc.2016.04.036
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The cardiac intensive care unit (CICU) has changed considerably over time and now serves a unique patient population with a high burden of cardiovascular and noncardiovascular critical illness. Patient complexity and technological evolutions in the CICU have catalyzed the development of critical care cardiology, a fledgling discipline that combines specialization in cardiovascular diseases with knowledge and experience in critical care medicine. Numerous uncertainties and challenges threaten to stymie the growth of this field. A multidisciplinary dialogue focused on the best care design for the CICU patient is needed as we consider alternative approaches to clinical training, staffing, and investigation in this rapidly evolving arena. (J Am Coll Cardiol 2016; 68:67-79) (C) 2016 by the American College of Cardiology Foundation.
引用
收藏
页码:67 / 79
页数:13
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