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Treatment of the Hemodynamically Unstable Patient

  • Forrester A. Lee
    Correspondence
    Corresponding Author: Section of Cardiology, 3 FMP, Yale University School of Medicine, 333 Cedar Street, P.O. Box 3333 New Haven CT 06510
    Affiliations
    Assistant Professor of Medicine, Yale University School of Medicine; and Attending Physician, Department of Internal Medicine, Yale-New Haven Hospital, New Haven, Connecticut
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      The pathogenesis, diagnosis, and management of six clinical syndromes associated with acute myocardial infarction and hemodynamic instability are discussed: (1) autonomic disturbances with hypertension-tachycardia or hypotension-bradycardia; (2) pulmonary edema; (3) cardiogenic shock; (4) right ventricular infarction; (5) rupture of ventricular free wall or septum; and (6) papillary muscle rupture.
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