Cardiovascular Problems in Emergency Medicine
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A unique textbook in cardiovascular emergencies

Cardiovascular Problems in Emergency Medicine takes you on rounds with the leading teachers of emergency medicine. Transcripts of in-depth telephone conferences on 27 real-life cardiovascular cases provide a unique and fascinating insight into the way complex cases are diagnosed and managed by some of the most experienced and respected practitioners in the field.

Each chapter is then complemented by an authoritative, fully-referenced review of the current literature on the topic.

With its unique approach, and the range of cases covered, Cardiovascular Problems in Emergency Medicine is an invaluable source of information for all emergency physicians, both qualified and in training.


Shamai Grossman and Peter Rosen are both at Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts


List of Contributors, vii

Acknowledgements, xi

Preface, xiii

Section One: Cardiac Ischemia

1 Chest Pain, 3
Michael Bohrn, Amal Mattu and Brian Browne

2 Non-ST-Segment Elevations Myocardial Infarction, 18
David Plitt and William J. Brady

3 ST-Segment Elevation Myocardial Infarction, 38
David F. M. Brown

4 Unusual Causes of Myocardial Ischemia, 54
Robin Naples and Richard Harrigan

Section Two: Cardiac Dysrhythmias

5 Bradyarrhythmias, 71
Colleen Birmingham and Edward Ullman

6 Atrial Fibrillation, 86
Kristen Cochran and Shamai Grossman

7 Supraventricular Tachycardia, 97
Theodore Chan

8 The Differential Diagnosis of Wide Complex Tachycardia—ED Diagnostic and Management Considerations, 108
Nathan Charlton and William J. Brady

9 Cardiac Arrest, 123
Benjamin J. Lawner and Amal Mattu

10 Strategies in Out-of-Hospital Cardiac Arrest: Automatic External Defi brillator and Cardiopulmonary Resuscitation, 138
Catherine Cleaveland and William J. Brady

11 Pacemakers and AICDS in Emergency Medicine, 147
Theodore Chan

Section Three: Non Ischemic Cardiac Disease

12 Acute Heart Failure, 163
Kevin Reed and Amal Mattu

13 Syncope, 185
Shamai Grossman

14 Valvular Heart Disease, 197
Jeffrey Soderman and Edward Ullman

15 Myocarditis, 209
Jehangir Meer and Amal Mattu

16 Pericarditis, 226
Theodore Chan

17 Cardiac Toxins and Drug-Induced Heart Disease, 237
Jeffrey Green and Richard Harrigan

18 Cardiomyopathy, 258
Alden Landry and Shamai Grossman

Section Four: Vascular Emergencies

19 Aortic Dissection, 269
Keith A. Marill and David F. M. Brown

20 Abdominal Aortic Aneurysms, 283
David A. Peak and David F. M. Brown

21 Hypertensive Emergencies, 297
Russell Berger and Edward Ullman

Section Five: Cardiac Testing

22 The Electrocardiogram in Acute Coronary Syndromes, 309
Laura Oh and William J. Brady

23 Cardiac Markers, 326
J. Stephen Bohan

24 Stress Testing, 337
Jefferson Williams and Shamai Grossman

25 Coronary Computed Tomography, 349
J. Tobias Nagurney and David F. M. Brown

Section Six: Cardiac Surgery Complications

26 Postcardiac Surgery Emergencies, 363
Jonathan Anderson and Shamai Grossman

27 Pediatric Cardiac Emergencies, 372
Shannon Straszewski and Carrie Tibbles

Index, 383


“This is an excellent tool for reviewing the diagnosis and management of common cardiovascular emergencies. This book is particularly effective because of its use of real-life examples.”  (Doody’s, 10 August 2012)

“With its unique approach, and  the range of cases covered, Cardiovascular Problems in Emergency Medicine is an invaluable source of information for all emergency physicians, both qualified and in training.”  (MedReview, 15 June 2012)