Document Detail


The history of the coronary care unit.
MedLine Citation:
PMID:  16234887     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The first coronary care units were established in the early 1960s in an attempt to reduce mortality from acute myocardial infarction. Pioneering cardiologists recognized the threat of death due to malignant arrhythmias in the postinfarction setting, and developed techniques for successful external defibrillation. The ability to abort sudden death led to continuous monitoring of the cardiac rhythm and an organized system of cardiopulmonary resuscitation, incorporating external defibrillation with cardiac drugs and specialized equipment. Arrhythmia monitoring and cardiopulmonary resuscitation could be performed by trained nursing staff, which eliminated delays in treatment and significantly reduced mortality. These early triumphs in aborting sudden death led to the development of techniques to treat cardiogenic shock, limit infarct size and initiate prehospital coronary care, all of which laid the foundation for the current era of interventional cardiology.
Authors:
Kiran K Khush; Elliot Rapaport; David Waters
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Publication Detail:
Type:  Historical Article; Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  21     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-19     Completed Date:  2005-12-30     Revised Date:  2008-04-09    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  1041-5     Citation Subset:  IM    
Affiliation:
Division of Cardiology, San Francisco General Hospital, Department of Medicine, University of California, San Francisco 94110, USA.
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / history,  therapy
Cardiology / economics,  history
Coronary Care Units / economics,  history*,  organization & administration
Europe
History, 20th Century
Humans
North America

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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