Download Handbook of Cardiac Critical Care and Anaesthesia 2024 pdf Easily In Format For Free
Edited:
by Sunandan Sikdar MD, DM, FACC Department of Cardiology
Narayana Multispeciality Hospital Kolkata, Indi
Pages: 332
- Language: English
- Format: PDF
- Size: 57.2 MB
Contents
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . viii
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Editor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
List of Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiv
1. Evaluation in Acute Cardiac Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Sunandan Sikdar and Biswajit Majumder
2. The ECG in Cardiac Critical Care and Anaesthesia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Sunandan Sikdar
3. Echocardiography in Critical Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Sunandan Sikdar and Debika Chatterjee
4. Assessment of Volume Status in CCU (Online-Only Chapter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Swarup Paul and Sunandan Sikdar
5. Thoracic Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Abhradip Das and Sunandan Sikdar
6. Arterial Blood Gas (Online-Only Chapter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Swarup Paul and Sunandan Sikdar
7. Approach to Electrolyte Abnormalities in CCU (Online-Only Chapter) . . . . . . . . . . . . . . . . . . . . 62
Swarup Paul and Sunandan Sikdar
8. Haemodynamics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Sunandan Sikdar and Swarup Paul
9. The Role and Interpretation of Biomarkers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Sunandan Sikdar, Barnik Chaudhuri, and Arijita Mukherjee
10. Acute Chest Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Sunandan Sikdar and Mrinal Kanti Das
11. Acute Coronary Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Sunandan Sikdar and Debabrata Roy
12. ST Elevation Myocardial Infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Sunandan Sikdar and Saibal Mukhopadhyay
13. Post-Procedure Management in the CCU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Sunandan Sikdar, Devendra Shrimal, and Simarjot Singh Sarin
14. Cardiogenic Shock and Management of Hypotension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Sunandan Sikdar, Amit Mittal, and Umesh Kohli
15. Inotropes and Vasopressors (Online-Only Chapter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Sunandan Sikdar and Aman Makhija
16. Antiplatelets and Anticoagulants: Perioperative Issues. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Sunandan Sikdar and Dipankar Ghosh Dastidar
17. Non-Vitamin K Oral Anticoagulants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Sunandan Sikdar
18. Acute Aortic Syndromes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Sunandan Sikdar and Arunansu Dhole
19. Refractory Hypertension in Critical Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Sunandan Sikdar and Rathindra Nath Karmakar
20. Pulmonary Embolism. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Sunandan Sikdar, Arindam Pande, and Gautam Das
21. Pulmonary Hypertension. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Sunandan Sikdar and Auriom Kar
22. Narrow QRS Tachycardia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Sunandan Sikdar and Debabrata Bera
23. Atrial Fibrillation: The CCU Perspective. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Anunay Gupta and Sunandan Sikdar
24. Wide QRS Tachycardia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
Sunandan Sikdar and Subramanian Anandaraja
25. Preoperative, Perioperative and CCU Care in Primary Electrical
Disorders of the Heart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
Madhav Krishna Kumar Nair, Arshad Jahangir, and Praloy Chakraborty
26. Electrical Storm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186
Sunandan Sikdar and Deepak Padmanabhan
27. Permanent Pacemakers and Defibrillators: From Basics to Troubleshooting. . . . . . . . . . . . . . . 191
Sunandan Sikdar and Dilip Kumar
28. Cardiomyopathies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
Sunandan Sikdar, Arijit Ghosh, and Subhasis Roy Chowdhury
29. Myocarditis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218
Sunandan Sikdar and Subhajit Das
30. Stress Cardiomyopathy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224
Sunandan Sikdar, Soumik Basu, and Sumanta Chatterjee
31. Acute Decompensated Heart Failure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228
Sunandan Sikdar and Munna Das
32. Valvular Heart Disease and Infective Endocarditis (Online-Only Chapter). . . . . . . . . . . . . . . . . 237
Sunandan Sikdar, Indranil Dutta, and Arunansu Dhole
33. Pericarditis and Pericardial Effusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238
Sunandan Sikdar, Anup Khetan, and Biswarup Sarkar
34. Acute Limb Ischaemia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Sunandan Sikdar and Saujatya Chakraborty
vii
35. Use of Sedation, Analgesia and Anaesthesia in CCU (Online-Only Chapter). . . . . . . . . . . . . . . 250
Sunandan Sikdar, Swarup Paul, and Jitendra Ladhania
36A. Preoperative Assessment of Patients with Ischaemic Heart Disease. . . . . . . . . . . . . . . . . . . . . . 251
Anuradha Patel, Sunandan Sikdar, and Rakesh Garg
36B. Perioperative Assessment and Management of Patients with Valvular
Heart Disease for Non-Cardiac Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
Neha Pangasa and Dalim Kumar Baidya
37. Mechanical Ventilation: Basics for CCU Clinicians (Online-Only Chapter). . . . . . . . . . . . . . . . . 271
Swarup Paul and Sunandan Sikdar
38. Basics of Non-Invasive Ventilation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272
Abhradip Das and Sunandan Sikdar
39. Nutrition in Cardiac Intensive Care (Online-Only Chapter). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 282
Sunandan Sikdar and Swarup Paul
40. Cardiac Aspects of Diabetes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 283
Sunandan Sikdar and Kaushik Sen
41. Cardiac Arrest: Resuscitation and After. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 287
Sunandan Sikdar and Kowshik Paul
42. Cardiac Assist Devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 293
Karan Madan, Sourabh Pahuja, and Sunandan Sikdar
43. Cardiorenal Syndrome and Heart Kidney Interaction (Online-Only Chapter). . . . . . . . . . . . . . 303
Sunandan Sikdar and Pinaki Mukhopadhyay
44. Cardiac Drugs: Uses and Precautions (Online-Only Chapter). . . . . . . . . . . . . . . . . . . . . . . . . . . . 304
Sunandan Sikdar and Rana Rathore Roy
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305
Preface
This book provides clinical tips on the management of common emergencies that are regularly faced by critical care and acute care cardiologists in resource-limited settings. Based
on the current guidelines, it explores the evaluation of the patient, followed by its treatment methodology. It highlights the beneficial effects of the use of cardiac drugs during
an emergency. There is also a special section on preoperative evaluation and postoperative
management of cardiac patients of different subsets. Medicolegal/documentation points
are also discussed where relevant. It is useful as a ready reference for physicians, anaesthetists and cardiologists.
Key Features
◾
Reinforces practical aspects and recalls certain overlooked clinical points to address
emergency situations in a busy, resource-limited setting
◾
Explains lucidly what the acute cardiac care/anaesthesia registrar or cardiology fellows
ought to do in the intensive care and postoperative wards
◾
Emphasizes the importance of clinical acumen and observation
With the explosive development of interventional cardiology, a change has occurred. We have
more critical cases, a larger elderly population and more patients having comorbidities like kidney
and lung disease. Intervention in this patient population is riskier, and the post-procedure course
requires closer monitoring and deeper interdisciplinary knowledge for better outcomes. In fact, the
more difficult or high stakes a procedure is, the more important post-procedure care becomes – as
important as the procedure itself – to sail through choppy waters. Knowledge of medical or surgical
intensive care strategies may help but may not be enough for cardiac care unit (CCU) needs. Thus, a
text is required to bridge the gap between cardiology and intensive care.
While I was figuring out an
arterial blood gas (ABG) in cardiogenic shock for my resident, I realized that there is a dearth of texts
in this field. But a voluminous text will not serve this purpose as the physicians busy in the CCU –
residents, trainees, physicians with training in intensive care, cardiologists and anaesthetists –
hardly have time. A handbook in the form of dialogue or in question-and-answer format delivers
the necessary information to-the-point in a lively way. Just as in the bedside, personal perspectives
reinforce education – this aspect has also been incorporated in the text, as are pitfalls, real cases
and nightmares. The authors who have been selected for their wide experience in managing cardiac intensive care have been gracious enough to subscribe to this format. We hope this book will
provide a much-needed guidance to the “CCU warriors” who toil day in and day out to ensure that
critical cardiac patients live to see the light of the day
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