Be Aggressive in Considering Reperfusion Therapy in Acute Myocardial Infarction Anthony D. Slonim MD, DrPH Cardiovascular disease is a dominant cause of morbidity and mortality in the United States and…

Consider Nesiritide in Acutely Decompensated Heart Failure Jacqueline Janka MD In patients with cardiogenic pulmonary edema due to acute decompensated heart failure, plasma brain natriuretic peptide (BNP) measurements can guide…

Strongly Consider Using Glycoprotein IIb/IIIa Inhibitors as an Added Treatment to Stenting in Acute Myocardial Infarction Nirav G. Shah MD Percutaneous coronary intervention (PCI) with stenting has revolutionized the care…

Strongly Consider Low-Molecular-Weight Heparin in the Treatment of Unstable Angina and Non-ST-Elevation Myocardial Infarction Julius Cuong Pham MD Case Mrs. ACS is a 74-year-old female who is admitted to the…

Consider the Use of Glycoprotein IIb/IIIa Inhibitors in Unstable Coronary Syndromes Andrew L. Rosenberg MD Current treatments for acute coronary syndromes including unstable angina and non-ST-elevation myocardial infarction now include…

Consider Thrombolytics in ST-Elevation Myocardial Infarction if Percutaneous Coronary Intervention is not Available or Delayed Julius Cuong Pham MD Case Mr. AMI is a 66-year-old male who is postoperative day…

Remember that Cardiac Pressors do not Work in a Low-pH Environment Bradford D. Winters MD, PhD Critically ill patients often require inotropic and/or pressor support to maintain adequate cardiac output…

Do not use Vasopressin in Patients with Heart Failure or Mesenteric Ischemia Benjamin S. Brooke MD Vasopressin is the exogenous, parenteral form of antidiuretic hormone (ADH) that may be used…

Administer Beta-Blockade Initially Before Administering “Other” Antihypertensives When Treating Aortic Dissection Eric S. Weiss MD Signs and Symptoms Case A 44-year-old man whose only past medical history consists of hypertension…