Biomedical subjects
B Sanzobrino
Publications and source records attributed to B Sanzobrino.
Motivation and enthusiasm in a coronary care unit.
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Acute problems in the coronary care unit that do not require intervention. II. Atrial fibrillation with optimal heart rates.
Acute onset of atrial fibrillation during the early period of an MI does not require antiarrhythmic therapy if the ventricular response is not excessive and the patient is hemodynamically stable. The use of diuretics and/or unloading agents, determined by the degree of CHF, is the preferred management. Use of digitalis glycosides is potentially hazardous because of the possibility of precipitating A-V block in patients with acute A-V nodal injury.
Acute problems in the coronary care unit that do not require intervention. III. Accelerated idioventricular rhythms, types I and II.
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Acute problems in the coronary care unit that do not require intervention. IV. Acute block in the A-V node.
Second- and third-degree (complete) A-V block due to an acute inferior wall myocardiac infarction does not require any treatment if the heart rate (from the junctional pacemaker) is in a range that permits an adequate blood pressure with adequate peripheral perfusion. The patient is watched carefully for any symptomatic fall in blood pressure in order to promptly correct a bradycardia-related fall in cardiac output. The clinical state of the patient with the arrhythmia is treated, and not just the arrhythmia.