Cardiologic problems in the post acute ventilated patient

Clinics in Chest Medicine
M SeidlitzJ J Smith

Abstract

Chronically critically ill patients who develop acute respiratory failure commonly have complicating cardiac pathology that may or may not be evident at initial evaluation. The acute coronary syndromes should be excluded in all patients presenting with respiratory failure. Cardiac rhythm disturbances are common and should be actively investigated and treated in all critically ill patients. Heart failure is common in the chronically critically ill patient but usually responds to early diagnosis and prompt treatment. Finally, cardiogenic shock carries a poor prognosis in most patient subsets except when it is caused by cardiac tamponade. The intensivist must be vigilant for cardiac pathology complicating the recovery of patients with acute respiratory illness and initiate the search for correctable problems that may precipitate further episodes of respiratory insufficiency.

References

Jul 1, 1988·Journal of the American College of Cardiology·R Shabetai
Jan 1, 1974·Chest·L H Ellison, M M Kirsh
Jul 15, 1971·The New England Journal of Medicine·D L PageC A Sanders
Aug 1, 1981·The Thoracic and Cardiovascular Surgeon·U BortolottiV Gallucci
Apr 1, 1983·Journal of the American College of Cardiology·I KronzonH E Winer
Feb 1, 1981·The American Journal of Cardiology·L M Buja, J T Willerson
Jun 1, 1994·Circulation·E D EngelsteinB B Lerman
Mar 11, 1993·The New England Journal of Medicine·F ZijlstraH Suryapranata
Jul 1, 1996·Journal of the American College of Cardiology·S SaitoS Miyake
May 23, 1998·The New England Journal of Medicine·UNKNOWN Platelet Receptor Inhibition in Ischemic Syndrome Management in Patients Limited by Unstable Signs and Symptoms (PRISM-PLUS)
May 23, 1998·The New England Journal of Medicine·UNKNOWN Platelet Receptor Inhibition in Ischemic Syndrome Management (PRISM) Study Investigators

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