Abstract
Cardiovascular intensive care refers to special systemic management for the patients with severe cardiovascular disease (CVD), which consists of heart disease and vascular disease. CVD is one of the leading causes of death in the world. In order to prevent death due to CVDs, an intensive care unit for severe CVD patients, so-called cardiovascular intensive care unit (CICU), has been developed in many general hospitals. The technological developments of clinical cardiology, such as invasive hemodynamic monitoring and intracoronary interventional procedures and devices, have resulted in evolution of intensive care for CVDs. Subsequently, severe CVD patients admitted to CICU are increasing year by year. Dedicated medical staff is required for CICU in order to perform best patient management. It is necessary for optimal patient care to select effective means from various hemodynamic tools and to adjust the usage according to the clinical situation such as cardiogenic shock and acute heart failure. Furthermore, the patients in the CICU often have various complications such as respiratory failure and renal failure. Therefore, medical staffs who work at CICU are required to have the ability to practice systemic intensive care.
Highlights
Cardiovascular intensive care refers to special systemic management for the patients with severe cardiovascular disease (CVD), which consists of heart disease and vascular disease
Features of cardiovascular intensive care The cardiovascular intensive care unit (CICU) is a hospital ward specialized in the care of patients with severe heart diseases, such as acute myocardial infarction (AMI), cardiomyopathy, and arrhythmias
temperature management (TTM) is included in the treatment for post-cardiac arrest syndrome (PCAS) which is on the fifth chain
Summary
Cardiovascular intensive care refers to special systemic management for the patients with severe cardiovascular disease (CVD), which consists of heart disease and vascular disease. As the target patients spread to heart failure, shock, out-of-hospital cardiac arrest, etc., the need for cardiovascular intensive care including respiratory management and blood purification therapy increased. Features of cardiovascular intensive care The CICU is a hospital ward specialized in the care of patients with severe heart diseases, such as AMI, cardiomyopathy, and arrhythmias. The main feature of CICU is the availability of the continuous monitoring of the cardiac rhythm by electrocardiography (ECG) This allows early intervention with medication, cardioversion, or defibrillation, improving the prognosis of the severe CVD patients. Monitoring of the heart and vascular system The most important monitor in cardiovascular intensive care is an electrocardiogram that evaluates the cardiac rhythm of the CVD patients. The five guidelines in the adult out-of-hospital Chain of Survival that are recommended by the American Heart Association (AHA) are: 1. Recognition of cardiac arrest and activation of the emergency response system
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