By Sean Henderson
Publication by way of Sean O. Henderson (Editor)
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Additional resources for Emergency Medicine
Mobitz II and third degree AV block) due to injury of the conducting system. These rhythms may not respond to atropine and preparations for external and/or invasive pacing should be made immediately. , first degree AV block or Wenkebach patterns) due to an increase in vagal tone. These are usually transient and responsive to IV atropine. • Tachydysrhythmias increase myocardial oxygen demand and should be treated according to ACLS protocols. • It should be noted that the presence of low-grade ectopy in ACS, such as intermittent premature ventricular contractions (PVCs), is not routinely treated with antidysrhythmic agents as was once common practice.
ST elevations in the vascular territory of a particular epicardial artery (see above) is characteristic of transmural MI, when there is complete obstruction. • Because of the time-dependent nature of revascularization treatments for STEMI, the most important distinction that must be made in the initial evaluation of a patient with symptomatic CAD is that between those patients with significant ST elevation and those without. • Since ST elevation may not be present on the initial EKG, it is important to obtain frequent serial EKGs, especially when there is a dynamic nature to the patients presenting symptoms.
In: Marx JA, Hockberger RS, Walls RM, eds. Emergency Medicine. Concepts and Clinical Practice. Mosby, 2002:2. 6. Murphy C. Hypertensive emergencies. Emergency Medicine Clinics of North America November 1995; 13(4):973-1007. 7. Thach AM, Schultz PJ. Nonemergent hypertension. New perspectives for the emergency medicine physician. Emergency Medicine Clinics of North America November 1995; 13(4):1009-35. 8. Tietjen CS, Hurn PD, Vlatowski JA et al. Treatment modalities for hypertensive patients with intracranial pathology: Options and risks.