Since the publication of the first edition of Cardiac Intensive Care, there have been considerable changes in the level of care and the complexity of therapies provided in the cardiac intensive care unit (CICU).
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To reflect these changes appropriately, the second edition of Cardiac Intensive Care has not only been updated, but also completely restructured with many new chapters. Given that most CICU admissions are still related to coronary artery disease and its acute manifestations, one major focus of this text remains the diagnosis and therapeutic options for patients with acute coronary syndromes. Section III, Coronary Artery Disease, is divided into Acute Myocardial Infarction, Complications of Acute Myocardial Infarction, and Complications of Percutaneous Interventional Procedures.
We recognize, however, the ever-increasing multifaceted disease states that are cared for in the CICU and have included sections on Noncoronary Diseases, Pharmacologic Agents in Cardiac Intensive Care Unit, and Advanced Diagnostic and Therapeutic Techniques. The evidence base for practice in the CICU is expanding rapidly, placing high demands on the daily “rounders.” The field of cardiovascular medicine has expanded to subsume multiple subspecialties and a multitude of procedures, including percutaneous coronary intervention, percutaneous valve procedures peripheral arterial procedures, atrial and ventricular ablations, pacemaker and defibrillator implantations, and cardiac imaging. The cardiac intensivist is required to make informed decisions about the potential benefit versus the risks of referring patients for these procedures and to interpret the data derived from these procedures adequately. In addition, adding to the dynamic environment, optimal patient care in the CICU is delivered via a multidisciplinary approach involving physicians, nurses, ethicists, respiratory therapists, nutritionists, physical therapists, and social workers. The goal of this second edition of Cardiac Intensive Care is to provide a comprehensive, conceptual, yet practical and evidence-based text for all specialties involved in patient care in a CICU. The editors thank Natasha Andjelkovic from Elsevier for her tireless efforts and her ongoing encouragement throughout this endeavor. Additionally, we express our deep appreciation to all the contributing authors. Without their expertise, dedication, and time commitment, this book would not have been possible
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