Tom F. Gutchewsky – Acute Cardiac Conditions

You can use your knowledge to identify presenting and evolving symptoms and potential risk factors for common diseases by having a solid understanding of cardiac anatomy.

Tom F. Gutchewsky – Acute Cardiac Conditions

• “Time is muscle”
• Rapid diagnosis of acute cardiac diseases
• The key differences between cardiogenic shocks (and other types of shock)
• How do you know which patients who have suffered aortic dissection need emergency surgery? Which don’t?
• Identify cardiac tamponade using Beck’s triad of symptoms
• To intervene quickly, recognize the first signs and symptoms of acute cardiac arrhythmias.

You’re caring for a stable patient when suddenly she develops tachycardia and hypotension as well as complaints of pain. These symptoms are all indicative of acute coronary syndrome. Is it you?! Acute Rapid action and quick assessment are required for patient changes.

You can use your knowledge to identify presenting and evolving symptoms and potential risk factors for common diseases by having a solid understanding of cardiac anatomy. To help you make the right decision, fascinating case studies will be provided. This knowledge will enable you to respond appropriately and not panic. You can return to work faster and be able to determine the differential diagnosis quickly.

OUTLINE

Acute Cardiac Pathology

• You can tell the difference between an ST elevation MI (or a non ST elevation) MI
• What about presentations based upon different coronary vessel involvement?
• To identify the specific pathology, including chronic lesions vs. culprit, review angiogram films
• What are the best times to use thrombolytics?
• What is the best time to have an invasive procedure such as angioplasty, stenting or other similar procedures?
• When to refer for surgery – including the timing of elective and urgent surgery
• Echocardiograms show the effects of myocardial ischemia and acute MV regurgitation.
• MR treatments: Pharmacology When is it right to perform surgery?-Are there any interventions that are based on the law?
• Learn how intra-Aortic balloon pumps can be used to stabilize patients with ventral septal defects due to MI before they undergo surgery.
• Consider which medications are best for your specific condition and follow the AHA recommendations

Cardiogenic Shock

• To recognize early signs of cardiogenic shock, it is important to understand the causes.
• Compare the functions of diagnostic techniques such as echocardiograms and swanganz caths
• Get insight into common and more advanced treatments such as fluid resuscitations medication, interventions, intramuscular, and intravenous.-Aortic balloon pumps, ECMO, VADs

Aortic dissection

• Stanford types A andB – which include common causes, patients at risk and typical presenting symptoms
• For pathological findings, review diagnostic images and techniques, including TEE and echocardiogram.
• What patients need emergency surgery and which require medical management?
• Check out the most up-to-date surgical techniques for treatment

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Cardiac Tamponade

• Identify the symptoms of cardiac tamponade including the components of Beck’s triad
• Learn about the causes of pericardial Tamponade
• Examine diagnostic echocardiograms and CT images
• Pericardiocentesis, pericardial windows surgical procedures and other appropriate treatments are available

Arrhythmias

• Identify acute cardiac arrhythmias including atrial fibrillation/flutter, 3rd-EKG results show degree of heart block and ventricular arrhythmia
• Common etiologies reviewed and risk factors
• Consider all treatment options, including electricity and medication.

OBJECTIVES

1. Analyze EKG and physiologic, cardiovascular, and structural changes in relation to myocardial Ischemia.
2. The acute mitral regurgitation is caused by papillary dysfunction, ventral septal defects, or the acute physiologic manifestations.
3. Communicate urgent cardiac interventions, including percutaneous, pharmacological and surgical treatments.
4. Consider the symptoms and etiology of cardiogenic shocked and the treatments used.
5. Analyze Stanford type B and A aortic dissections and the treatments for each, including which type of emergency cardiac surgery is required.
6. Treatments for cardiac tamponade symptoms.
7. Assess acute cardiac rhythm changes, their etiology and possible treatments, including pharmacological or invasive interventions.