Archive

Medical Category: Cardiovascular

Elevated Asymptomatic Hypertension: To Treat or Not to Treat?

As emergency physicians, we are constantly on the look out for elevated blood pressures and the potential devastating consequences. We are concerned about intracranial bleeds and acute pulmonary edema from heart failure. But what about the patient that comes in ...

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Cardiovascular

REBEL ECG of the Week 7

  89 year old male with PMH of hypertension, stage 3 chronic kidney disease with chief complaint of shortness of breath. Several days ago patient had a laminectomy for radicular pain. He was doing fine post-operatively and began to develop gradual ...

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Cardiovascular

Left Ventricular Assist Device

The first left ventricular assist device (LVAD) was performed in 1984 and since that time there is an increasingly growing population of patients with LVADs.  This means ED physicians will be seeing more and more of these patients in the ...

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Cardiovascular

ECG Changes of Hyperkalemia

Hyperkalemia is an electrolyte abnormality seen in the emergency department as well as in hospitalized patients and it can be associated with adverse clinical outcomes and death if not treated appropriately. It is important to remember that the electrophysiologic effects ...

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CardiovascularEndocrine, Metabolic, Fluid, and Electrolytes

Diagnosis of Right Ventricular Strain with Transthoracic Echocardiography

Abnormal vital signs are poor predictors of mortality associated with pulmonary embolism (PE).  Diagnosis of PE and right ventricular (RV) strain with transthoracic echocardiography (TTE) however, has been well documented as a predictor for pending shock and significant in-hospital mortality.  ...

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CardiovascularResuscitationThoracic and Respiratory
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