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In contrast, of the 108 low-risk patients with none of the three criteria, only 6% received any CCUI, and none died in the CCU.  |  A coronary care unit (CCU) or cardiac intensive care unit (CICU) is a hospital ward specialized in the care of patients with heart attacks, unstable angina, cardiac dysrhythmia and (in practice) various other cardiac conditions that require continuous monitoring and treatment. [3] Exercise tolerance testing is often used to identify patients with possible occlusive coronary artery disease that are not known to have CAD, or to … Customize your JAMA Network experience by selecting one or more topics from the list below. Indeed, none of the major cardiovascular texts consider Almost all interventions occurred in a high-risk group that had one or more of three findings: (1) ongoing chest pain, (2) pulmonary rales, or (3) one or more ventricular premature contractions (VPCs) on 12-lead ECG. Therefore, the following paper, summarizing the contents of the recent CCU convention at the ANMCO congress, attempts to define the priorities for hospitalization in the CCU, based on three different levels of evidence: level A indication (immediate mandatory admission); level B indication (immediate admission, the availability of beds allowing); level C indication (admission not indicated, but possible in the absence of other alternatives, e.g. 2007 Mar 27;49(12):1279-82. doi: 10.1016/j.jacc.2006.11.036. J Am Coll Cardiol. Get free access to newly published articles. Cardiac care unit interventions included administration of lidocaine hydrochloride, atropine sulfate, sodium nitroprusside, or vasopressors; Swan-Ganz or arterial catheterization; insertion of temporary pacemaker; and electroshock. COVID-19 is an emerging, rapidly evolving situation. Concerning the duration of stay within the CCU, clear-cut indications are difficult, but the concept is emphasized that the length of stay should be minimized, given the limited bed availability, in order to ensure the availability of intensive monitoring to all critical patients. Weiner and others published Cardiac Intensive Care Unit Admission Criteria | Find, read and cite all the research you need on ResearchGate Get the latest research from NIH: https://www.nih.gov/coronavirus. Therefore, the following paper, summarizing the contents of the recent CCU convention at the ANMCO congress, attempts to define the priorities for hospitalization in the CCU, based on three different levels of evidence: level A indication (immediate mandatory admission); level B indication (immediate admission, the availability of beds allowing); level C indication (admission not indicated, but possible in the absence of other alternatives, e… © 2020 American Medical Association. Two issues were identified with patient care on the unit (1) the number of inappropriate admissions and (2) the number of inappropriate exercise tolerance tests. All Rights Reserved. All Rights Reserved. doi:10.1001/jama.1981.03320180029024. Management of new-onset atrial fibrillation (AF) varies between institutions and individual physicians. Admission Criteria for Acute, Progressive and Intensive Care Units. J Cardiovasc Med (Hagerstown). 2016;44(8):1553-1602. Terms of Use| Myocardial infarction was subsequently diagnosed in 20 of the patients. Outcome of patients with cardiac diseases admitted to coronary care units: a report from Lazio, Italy. Coronary care units (CCUs) should ensure the best intensive therapy for all critical cardiologic patients and not only for patients with acute coronary heart disease. Alonso JJ, Sanz G, Guindo J, García-Moll X, Bardají A, Bueno H; Grupo de Estudio sobre las Unidades Coronarias de Cuidados Intermedios. 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