Echocardiography in the CCU

273 Pages·2018·17.8 MB·English

by  Eyal Herzog

Echocardiography
in the CCU
Eyal Herzog
Edgar Argulian
Editors
123
Echocardiography in the CCU
Eyal Herzog · Edgar Argulian
Editors
Echocardiography
in the CCU
Editors
Eyal Herzog Edgar Argulian
Mount Sinai St Luke's Hospital Mount Sinai St Luke's Hospital
New York, NY New York, NY
USA USA
ISBN 978-3-319-90277-7 ISBN 978-3-319-90278-4 (eBook)
https://doi.org/10.1007/978-3-319-90278-4
Library of Congress Control Number: 2018943696
© Springer International Publishing AG, part of Springer Nature 2018
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of
the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation,
broadcasting, reproduction on microfilms or in any other physical way, and transmission or information
storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology
now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication
does not imply, even in the absence of a specific statement, that such names are exempt from the relevant
protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book
are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, express or implied, with respect to the material contained herein or for any errors
or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims
in published maps and institutional affiliations.
Printed on acid-free paper
This Springer imprint is published by the registered company Springer International Publishing AG
part of Springer Nature.
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
To our families, patients, technicians,
colleagues, and trainees who have
continuously supported us and taught us so
much over the years.
Preface
The field of critical care cardiology has evolved considerably over the past few
decades. Cardiac units in the 1970s and the 1980s were practically coronary care
units typically populated by patients with acute and often uncomplicated myocar-
dial infarction or unstable angina. Contemporary cardiac care units (CCU) are car-
diac intensive care units (CICU) where the focus is management of patients with
multisystem diseases, advanced hemodynamic compromise, complex ventricular
arrhythmias, and established or incipient multiorgan failure.
Development of echocardiography paralleled the progress made in acute cardio-
vascular care. The initial use of echocardiography was to detect pericardial effusion
and cardiac tumors. However, the current applications of various echocardiographic
modalities include an extended list of pathological and therapeutic indications.
Currently, echocardiography is fundamental to the management of patients with
acute cardiovascular diseases. Timely performed echocardiography can lead to a
change in therapy in majority of patients with an acute cardiovascular condition.
In this book, we discuss the essential role of various echocardiographic modali-
ties in the modern acute cardiovascular care by highlighting the applications of
echocardiography in the most common clinical scenarios.
As an example, in the section of echocardiography in acute chest pain syndromes
we outline the use of echocardiography in acute coronary syndromes, mechanical
complications of myocardial infarction, and in acute aortic syndromes. We provide
a novel pathway for the use of echo in patients with acute chest pain. In the section
of echocardiography in dyspnea we outline structured and comprehensive echocar-
diographic evaluation of patients with suspected cardiac acute and subacute dys-
pnea in the acute care settings.
It is our hope that this book will serve as a teaching tool to help save the lives of
patients with heart disease in the CCU.
New York, NY, USA Eyal Herzog
New York, NY, USA Edgar Argulian
vii
Acknowledgments
We would like to acknowledge the extraordinary work of Candice Francis from our
office at Mount Sinai St. Luke’s Hospital in New York; she is our right hand in
assisting our trainees and patients in the hospital and is also the editing coordinator
of this book. We would also like to acknowledge Danny Pudpud, who is the Manager
of our Echo Lab and the person responsible for most of the images in this book.
ix
Contents
Part I S yndrome-Based Echocardiography in the CCU
1 Echocardiographic Assessment of Acute Chest Pain in the CCU . . . 3
Eyal Herzog, Jagat Narula, and Edgar Argulian
2 Echocardiographic Assessment of Acute Dyspnea in the CCU . . . . . 27
Edgar Argulian, Jagat Narula, and Eyal Herzog
3 The Arrhythmia Patient in the CCU – Impact
of Echocardiography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Alan Sugrue, Subir Bhatia, Vaibhav Vaidya, and Sam Asirvatham
4 Echocardiography in Patients with Syncope . . . . . . . . . . . . . . . . . . . . 67
Karthik Seetharam, Brandon W. Calenda, and Farooq A. Chaudhry
5 Echocardiography in Cardiac Arrest and Resuscitation . . . . . . . . . . . 77
Soheila Talebi, Edgar Argulian, and Eyal Herzog
6 Echocardiography in a Patient with a New Murmur . . . . . . . . . . . . . 93
Julie Friedman and Muhamed Saric
7 Echocardiography in Acute Neurologic Syndrome . . . . . . . . . . . . . . . 113
Gregory Katz and Muhamed Saric
Part II Application of Echocardiography in the CCU
8 Hemodynamic Assessment in the CCU by Echocardiography . . . . . . 135
Yuvrajsinh J. Parmar, Craig Basman, and Itzhak Kronzon
9 Cardiac Point of Care Ultrasound in the CCU . . . . . . . . . . . . . . . . . . 149
Allison Selby, Eyal Herzog, and Edgar Argulian
10 Non-cardiac Point of Care Ultrasound in the CCU . . . . . . . . . . . . . . . 165
Nick Pakzad, Ismini Kourouni, Joseph P. Mathew,
and Gopal Narayanswami
xi
xii Contents
11 Contrast Echocardiography in the Cardiac Care Unit . . . . . . . . . . . . 215
Eyal Herzog, Seyed Hamed Hosseini Dehkordi, and Edgar Argulian
12 Use of Echocardiography in Patients with Intracardiac Devices . . . . 227
Edward Chu, Karthik Seetharam, Brandon W. Calenda,
and Farooq A. Chaudhry
13 Echocardiography in Structural Cardiac Interventions . . . . . . . . . . . 245
Gnalini Sathananthan, Gila Perk, and Amir Ahmadi
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
Part I
Syndrome-Based Echocardiography
in the CCU