Cardiopulmonary Critical Care by Higgins, T. L.

By Higgins, T. L.

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Example text

Acute myocardial infarction A. New right bundle branch block B. Pre­existing bundle branch block C. Asymptomatic type I second­degree AV block or first­degree AV block D. 4 Pulmonary edema may develop whether left ventriculir (LV) compliance is decreased, normal or increased—as indicated by the pressure­volume curves depicted here With decreased LV compliance, even a normal LV volume may increase diastolic pressure enough to cause pulmonary ede ma (A); when the volume is low, pressure also increases, but to a lesser extent (B).

Second­degree atrio­ventricular (AV) block with symptomatic bradycardia C. Atrial fibrillation or flutter with periods of symptomatic bradycardia or congestive heart failure attributable to bradycardia D. Symptomatic bradycardia in the setting of electrolyte abnormalities or drug toxicity E. Torsades de point F. Heart rate <30 beats min–1 persisting for ≥10 min 2. Acute myocardial infarction: A. Asystole B. Complete heart block C. Right bundle branch block with left anterior or left posterior hemiblock with acute anterior myocardial infarction D.

General anesthesia with right bundle branch block with left anterior or left posterior hemiblock B. Right heart catheterization in the presence of left bundle branch block Class III—not indicated, may be harmful 1. Bradycardia owing to conduction system disease A. First­degree AV block B. Asymptomatic type I second­degree AV block C. Congenital third­degree heart block without symptoms D. Intermittent AV dissociation without bradycardia or heart block 2. Acute myocardial infarction A. New right bundle branch block B.

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