From the coronary care unit to the cardiovascular intensive care unit: the evolution of cardiac critical care

Umesh K Gidwani; Annapoorna S Kini

doi:10.1016/j.ccl.2013.07.012

From the coronary care unit to the cardiovascular intensive care unit: the evolution of cardiac critical care

Cardiol Clin. 2013 Nov;31(4):485-92, vii. doi: 10.1016/j.ccl.2013.07.012. Epub 2013 Sep 20.

Authors

Umesh K Gidwani¹, Annapoorna S Kini

Affiliation

¹ The Zena and Michael A. Wiener Cardiovascular Institute, The Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA. Electronic address: [email protected].

PMID: 24188215
DOI: 10.1016/j.ccl.2013.07.012

Abstract

This article presents an overview of the evolution of cardiac critical care in the past half century. It tracks the rapid advances in the management of cardiovascular disease and how the intensive care area has kept pace, improving outcomes and incorporating successive innovations. The current multidisciplinary, evidence based unit is vastly different from the early days and is expected to evolve further in keeping with the concept of 'hybrid' care areas where care is delivered by the 'heart team'.

Keywords: Cardiac critical care; Cardiovascular intensive care; Multidisciplinary heart care.

Publication types

Review

MeSH terms

Arrhythmias, Cardiac / therapy
Clinical Competence
Coronary Care Units / trends*
Critical Care / trends*
Cross Infection / prevention & control
Evidence-Based Medicine / trends
Health Resources / statistics & numerical data
Health Resources / trends
Humans
Intensive Care Units / trends*
Medical Errors / prevention & control
Medical Staff, Hospital / organization & administration
Medical Staff, Hospital / trends
Myocardial Infarction / therapy*
Patient Care Team / organization & administration
Patient Care Team / trends
Patient Safety
Personnel Staffing and Scheduling / organization & administration
Quality of Health Care
Thrombolytic Therapy / trends