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01-09-2021 | Cardiogenic Shock | Critical Perspective

New challenges in cardiac intensive care units

Authors: Enzo Lüsebrink, Antonia Kellnar, Clemens Scherer, Kathrin Krieg, Mathias Orban, Tobias Petzold, Sven Peterss, Stefan Kääb, Stefan Brunner, Daniel Braun, Christian Hagl, Jörg Hausleiter, Steffen Massberg, Martin Orban

Published in: Clinical Research in Cardiology | Issue 9/2021

Abstract

Critical care cardiology is a steadily and rapidly developing sub-specialization within cardiovascular medicine, since the first emergence of a coronary care unit in the early 1960s. Today, modern cardiac intensive care units (CICU) serve a complex patient population with a high burden of cardiovascular and non-cardiovascular critical illnesses. Treatment of these patients requires a multidisciplinary approach, with a combination of highly specialized knowledge and skills in cardiovascular diseases, as well as emergency, critical-care and internal medicine. The CICU has always posed special challenges to both experienced intensivists as well as fellows-in-training (FIT) and is certainly one of the most demanding training phases. In recent years, these challenges have grown significantly owing to technological innovations, with new and steadily rising numbers of complex interventional procedures and new options for temporary circulatory support for critically ill patients, such as venoarterial extracorporeal membrane oxygenation (VA-ECMO). Herein, we focus on the successful CICU management of these special patient cohorts, which must become an integral part of critical-care training.

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Title: New challenges in cardiac intensive care units
Authors: Enzo Lüsebrink
Antonia Kellnar
Clemens Scherer
Kathrin Krieg
Mathias Orban
Tobias Petzold
Sven Peterss
Stefan Kääb
Stefan Brunner
Daniel Braun
Christian Hagl
Jörg Hausleiter
Steffen Massberg
Martin Orban
Publication date: 01-09-2021
Publisher: Springer Berlin Heidelberg
Keywords: Cardiogenic Shock
Care
Cardiogenic Shock
ECMO
ECMO
Published in: Clinical Research in Cardiology / Issue 9/2021
Print ISSN: 1861-0684
Electronic ISSN: 1861-0692
DOI: https://doi.org/10.1007/s00392-021-01869-0

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Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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Other articles of this Issue 9/2021

Comparison of mechanical circulatory support with venoarterial extracorporeal membrane oxygenation or Impella for patients with cardiogenic shock: a propensity-matched analysis

Incidence and outcomes of perioperative myocardial infarction/injury diagnosed by high-sensitivity cardiac troponin I

Clopidogrel vs. prasugrel vs. ticagrelor in patients with acute myocardial infarction complicated by cardiogenic shock: a pooled IABP-SHOCK II and CULPRIT-SHOCK trial sub-analysis

Critical appraisal of the 2020 ESC guideline recommendations on diagnosis and risk assessment in patients with suspected non-ST-segment elevation acute coronary syndrome

Outcome of patients treated with extracorporeal life support in cardiogenic shock complicating acute myocardial infarction: 1-year result from the ECLS-Shock study

Outcomes in patients with acute myocardial infarction and new atrial fibrillation: a nationwide analysis

ACC 2024 Congress Coverage

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Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page