RT Book, Section
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
SR Print(0)
ID 1202456708
T1 Evolution of Cardiac Critical Care
T2 Fuster and Hurst's The Heart, 15e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781264257560
LK accesscardiology.mhmedical.com/content.aspx?aid=1202456708
RD 2024/04/20
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.