Contents -- Contributors -- Preface -- 1: Diagnosis of acute chest pain -- 1.1 Introduction -- 1.2 Causes of acute chest pain -- 1.3 Diagnostic approach -- 1.4 Specific problems in the diagnosis of patients with chest pain -- References -- 2: Acute coronary syndromes I: pathogenesis -- 2.1 Correlations between arterial pathology and clinical presentations -- 2.2 Stable plaque formation and progression -- 2.3 Transition to vulnerable plaque -- 2.4 Development of thrombosis -- 2.5 Chronic resolution of thrombus and plaque remodelling -- 2.6 Additional factors in the relationship between arterial pathology and clinical presentation -- References -- 3: Acute coronary syndromes II: myocardial infarction with ST elevation -- 3.1 Introduction -- 3.2 Correlations between site of infarction and ECG abnormalities -- 3.3 Clinical assessment -- 3.4 General management of myocardial infarction with ST elevation -- 3.5 Management of specific problems -- References -- 4: Acute coronary syndromes III: chest pain with ST depression or a normal ECG -- 4.1 Introduction -- 4.2 Clinical presentations -- 4.3 Management -- 4.4 Problems in non-ST elevation acute coronary syndromes -- Clinical cases -- Further reading -- References -- 5: Acute pulmonary oedema -- 5.1 Introduction -- 5.2 Clinical presentation -- 5.3 Diagnosis -- 5.4 Management -- 5.5 Specific problems -- Clinical cases -- References -- 6: Cardiogenic shock -- 6.1 Diagnosis -- 6.2 Management -- 6.3 Specific problems -- Clinical cases -- References -- 7: Aortic dissection and related syndromes -- 7.1 Pathology -- 7.2 Clinical features -- 7.3 Initial investigations -- 7.4 Specialised imaging -- 7.5 Medical management -- 7.6 Surgical management -- 7.7 Specific problems -- Clinical cases -- Further reading -- References -- 8: Pulmonary embolism -- 8.1 Background -- 8.2 Diagnosis.

8.3 Treatment of pulmonary embolism: acute management -- 8.4 Treatment of pulmonary embolism: long-term issues -- References -- 9: Acute atrial fibrillation -- 9.1 Introduction -- 9.2 Thromboembolic risk in acute AF: role of left atrial mechanical function -- 9.3 Management: initial assessment -- 9.4 Management: AF duration less than 48 hours (Figure 9.3) -- 9.5 Management: AF duration over 48 hours or uncertain (Figure 9.5) -- Clinical cases -- References -- 10: Narrow complex tachycardia -- 10.1 Introduction -- 10.2 Differential diagnosis, classification and electrophysiological mechanisms -- 10.3 Management (step 1): initial assessment -- 10.4 Management (step 2): determining the mechanism of narrow complex tachycardia -- 10.5 Management (step 3): treatment of junctional tachycardias -- 10.6 Management (step 4): treatment of atrial tachyarrhythmias -- Clinical cases -- References -- 11: Broad complex tachycardia -- 11.1 Introduction -- 11.2 Electrocardiographic mechanisms and differential diagnosis -- 11.3 Management (step 1): initial evaluation -- 11.4 Management (step 2): differentiating VT from SVT with aberrant conduction -- 11.5 Management (step 3): immediate treatment of VT -- 11.6 Management (step 4): subsequent management of VT -- 11.7 Polymorphic VT, torsade de pointes and the long QT syndromes -- Clinical cases -- References -- 12: Syncope, bradyarrhythmias, and temporary cardiac pacing -- 12.1 Introduction -- 12.2 Syncope -- 12.3 Bradyarrhythmias -- 12.4 Bradyarrhythmias and temporary cardiac pacing in acute myocardial infarction -- Clinical cases -- References -- 13: Cardiac arrest -- 13.1 Introduction -- 13.2 Basic life support -- 13.3 Advanced life support -- 13.4 Specific clinical problems in cardiac arrest management -- 13.5 Post-arrest care -- Clinical cases -- Recommended reading -- References -- 14: Practical procedures.

14.1 Central venous access -- 14.2 Temporary transvenous pacing -- 14.3 Pulmonary artery catheterisation -- 14.4 DC cardioversion -- 14.5 Pericardiocentesis -- 14.6 Intra-aortic balloon pump management -- Clinical cases -- References -- Appendix: CCU drug protocols -- Accelerated TPA (Alteplase) -- Amiodarone -- Atenolol -- Bretylium -- Dalteparin (in acute coronary syndromes) -- Heparin (unfractionated) -- Insulin -- Labetolol -- Lidocaine (lignocaine) -- Metoprolol -- Noradrenaline (norepinephrine) -- Streptokinase -- Tirofiban -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- X.