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Articles Tagged With: cardiac

  • A Biomarker to Help With Neurologic Prognosis After Cardiac Arrest

    Determining the prognosis of neurological outcome after cardiac arrest is notoriously difficult. Neurofilament light chain is a new potential biomarker, for which elevated levels in the spinal fluid or blood indicate axonal injury in several neurological diseases.

  • Syncope

    Relying on the most current literature, this article discusses the causes of syncope and syncope mimics, provides the best practice evaluation strategies, and will refamiliarize emergency physicians with current state-of-the-art practices regarding syncope risk stratification guidelines.

  • Vitamin C for Postoperative Atrial Fibrillation Risk

    The authors of a systematic review of 13 studies found convincing evidence that vitamin C supplementation, beginning before cardiac surgery and continuing for a few days postoperatively, can decrease the risk of atrial fibrillation.

  • New Concepts of Ultrasound in the Emergency Department: Focused Cardiac Ultrasound in Cardiac Arrest

    Ultrasound is an integral aspect of caring for patients in the emergency department, and real-time use of this imaging modality at the bedside allows practitioners a hands-on approach to the clinical evaluation of patients. Point-of-care ultrasound (POCUS) has particular benefit in the critically ill patient for whom rapid information for decision-making is essential. Given this benefit, there is clear application for POCUS in the patient in cardiac arrest.

  • Chest Pain in Young Adults

    Chest pain is one of the most common reasons that patients present to the emergency department. The underlying disease processes can range from benign to life-threatening. The purpose of this article is to discuss the diagnosis, treatment, and management of the common causes of chest pain that can present in a young adult.

  • A Review of Heart Failure and Current Therapeutic Strategies

    The management of heart failure falls primarily on the primary care physician. Because of the Medicare financial penalty on hospitals for readmissions, primary care physicians need to be cognizant of the updated treatment options and work with colleagues across multiple disciplines to prevent unnecessary hospitalizations and improve outcomes.

  • Serum Tau as a Reliable Biomarker of Outcome After Cardiac Arrest

    Currently, there are no reliable and readily available biomarkers to assist in determining prognosis for neurological recovery after cardiac arrest, but serum tau measurements hold promise for the future.

  • Advanced Cardiac Life Support Updates

    The American Heart Association Advanced Cardiac Life Support guidelines are recognized as the authoritative reference for acute cardiopulmonary resuscitation. Emergency medicine providers should be thoroughly familiar with these guidelines.

  • Hemodynamic Monitoring Modalities in the Emergency Department

    Hemodynamic monitoring is a very important component in effectively resuscitating critically ill patients. Various methods of hemodynamic monitoring not only give the physician an idea of the patient’s overall pathophysiology, but can alert the physician to acute changes.

  • Rheumatic Heart Disease — The Global Situation

    With advances in access to good medical care, the global burden of rheumatic heart disease is declining. However, there still is significant disease in resource-limited regions of the world.