The Arrhythmic Patient in the Emergency Department : A Practical Guide for Cardiologists and Emergency Physicians

This book is a practical guide to the differential diagnosis and treatment of patients presenting in the Emergency Department with syncope or arrhythmias, including bradyarrhythmias, atrial fibrillation, narrow and wide QRS tachycardias. In addition, clear advice is provided on the management of patients with cardiac devices and possible dysfunction, electrical storm, or a requirement for urgent surgery. For each topic, a literature review of epidemiology, physiopathology, differential diagnosis, and treatment is conducted. Furthermore, practical suggestions are offered for short-term management, e.g., regarding the decision on when and where to hospitalize the patient; these proposals do not replace but rather summarize or integrate the current guidelines. The book is designed both for emergency physicians and cardiologists, who will be the first to evaluate and treat patients with arrhythmias or potentially arrhythmic problems in the emergency setting. It will also be a useful textbook for students and residents in Cardiology and Emergency Medicine. This book is a practical guide to the differential diagnosis and treatment of patients presenting in the Emergency Department with syncope or arrhythmias, including bradyarrhythmias, atrial fibrillation,℗lnarrow and wide QRS tachycardias. In addition, clear advice is provided on the management of patients with cardiac devices and℗lpossible℗ldysfunction, electrical storm, or a requirement for urgent surgery. For each topic, a literature review of epidemiology, physiopathology, differential diagnosis, and treatment is conducted. Furthermore, practical suggestions are offered for short-term management, e.g., regarding the decision on when and where to hospitalize the patient; these proposals do not replace but rather summarize or integrate the current guidelines.The book is designed both for emergency physicians and cardiologists, who will be the first to evaluate and treat patients with arrhythmias or potentially arrhythmic problems in the emergency setting. It will also be a useful textbook for students and residents in Cardiology and Emergency Medicine Front Matter....Pages i-x Management of Arrhythmic Patients in the Emergency Department: General Principles....Pages 1-17 Syncope: First Evaluation and Management in the Emergency Department....Pages 19-28 Management of Bradyarrhythmias in Emergency....Pages 29-41 Supraventricular Arrhythmias in Emergency....Pages 43-60 Atrial Flutter and Fibrillation in the Emergency Setting....Pages 61-87 Wide QRS Complex Tachycardia in the Emergency Setting....Pages 89-108 Acute Management of Arrhythmias in Patients with Known Congenital Heart Disease....Pages 109-116 Acute Management of Arrhythmias in Patients with Channelopathies....Pages 117-128 Acute Management of Patients with Arrhythmias and Non-cardiac Diseases: Metabolite Disorders and Ion Disturbances....Pages 129-150 Cardiac Arrhythmias in Drug Abuse and Intoxication....Pages 151-162 Pacemaker Malfunction: Myth or Reality?....Pages 163-175 Management of the Electrical Storm in Patients with ICD....Pages 177-193 Emergency Surgery and Cardiac Devices....Pages 195-208