Cardiac Intensive Care Unit Admission Criteria

Cardiac Intensive Care Unit Admission Criteria

Cardiac Intensive Care, Second EditionAllen Jeremias, andDavid L. BrownCHAPTER 3, 25-35

By:Dr. Dinarsari HP1

Pembimbing:Dr. Setyasih Anjarwani, SpJP (K)Parameter2Cardiovascular Conditions Requiring Admission to the Cardiac Intensive Care Unit3Chest pain, acute coronary syndromes, and acute myocardial infarctionAcute decompensated heart failurePulmonary hypertensionArrhythmiasSudden cardiac deathCardiogenic shockConditions requiring IABP or other forms of mechanical circulatory supportAdult congenital heart disease (decompensated)Valvular heart disease (with hemodynamic instability)Aortic dissectionHypertensive emergencyCardiac tamponadePulmonary embolism (massive or submassive)Postprocedure monitoring (percutaneous coronary intervention and electrophysiologic study)Indications to Guide Where to Admit Patients with Acute Chest Pain in Intensive Care Unit 4One of the following:Substantial ischemic ECG changes in two or more leads that are not known to be oldST segment elevation 1 mm or Q waves of 0.04 secondST segment depression 1 mm or T wave inversion consistent with the presence of ischemiaIndications to Guide Where to Admit Patients with Acute Chest Pain in Intensive Care Unit (cont)5Two of the following, with or without substantial ECG changes:Coronary artery disease known to be unstable (in terms of frequency, duration, intensity, or failure to respond to usual measures)Systolic blood pressure