Timothy D. Henry Archives

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Regional Centers of Excellence for the Care of Patients With Acute Ischemic Heart Disease

Key Points Current clinical practice guidelines for the care of patients who present with ST-segment elevation myocardial infarction (STEMI) provide a class I recommendation that “all communities should create and maintain a regional system of STEMI care that includes assessment…

Prehospital Assessment and Systems of Care

Case Vignette A 56-year-old riverboat captain experienced sudden onset of shortness of breath and diaphoresis at 1:30 am while on his boat near Red Wing, Minnesota ( Figure 5-e1 ). Emergency Medical Services (EMS) were activated from the boat, and…

Refractory Angina

Introduction Angina is first and foremost a pain signal that originates from the heart to reach the brain. Typically, angina is triggered by myocardial ischemia. In addition to advanced coronary artery disease (CAD), microvascular dysfunction and vasospastic angina are well-described…