TY - CHAP M1 - Book, Section TI - Evolution of Cardiac Critical Care A1 - Menon, Venu A1 - Rampersad, Penelope A2 - Fuster, Valentin A2 - Narula, Jagat A2 - Vaishnava, Prashant A2 - Leon, Martin B. A2 - Callans, David J. A2 - Rumsfeld, John S. A2 - Poppas, Athena PY - 2022 T2 - Fuster and Hurst's The Heart, 15e AB - Chapter SummaryThis chapter discusses the evolution of the coronary care unit (CCU) into the modern day cardiac intensive care unit (CICU). While the traditional CCU consisted mostly of patients with acute myocardial infarction (MI) and postreperfusion care, the contemporary CICU serves a more complex demographic of patients with acute and chronic cardiac disease, multiple comorbidities, and advanced age. Operationalization requires rapid triage of patients often from regional centers to hubs focused on ST-segment elevation myocardial infarction (STEMI), shock, acute aortic emergencies, pulmonary embolism, and out-of-hospital cardiac arrest. Other unique populations include patients requiring management of structural heart disease, temporary mechanical circulatory support, endocarditis, and periprocedural management. Ensuring appropriate systems of care, infrastructure, and workforce capable of caring for these patients has led to the emerging field of critical care cardiology. The CICU has truly become an intensive care unit requiring knowledge of critical care medicine with guidance largely extrapolated from the general intensive care unit literature, but with a recognized need to develop CICU-specific evidence-based patterns of care. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/06 UR - accesscardiology.mhmedical.com/content.aspx?aid=1202456708 ER -