A cardiac resuscitation program.

Published on Apr 1, 1962in The Journal-lancet
Day Hw1
Estimated H-index: 1
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#1Roderick Tung (UCLA Health)H-Index: 53
#2Kalyanam Shivkumar (UCLA Health)H-Index: 68
In 1962, the term coronary care unit was first coined by a Kansas City cardiologist, Hughes Day, to describe a centralized unit with a specialized team trained to rapidly identify and resuscitate patients admitted with acute myocardial infarction.1,2 With the dedicated critical care, improved reperfusion strategies, evidence-based medical therapy, and implantable cardioverter-defibrillators, survival from myocardial infarction in the acute and healed stages has significantly improved over the pa...
4 CitationsSource
#1Earl S. Ford (CDC: Centers for Disease Control and Prevention)H-Index: 148
#2Simon Capewell (University of Liverpool)H-Index: 89
Mortality rates from coronary heart disease (CHD), which had risen during the twentieth century in many countries, started declining in some countries during the 1960s. Once initial skepticism about the validity of the observed trends dissipated, researchers attempted to generate explanations about the events that had transpired using a variety of techniques, including ecological examinations of the trends in risk factors for CHD and changes in management of CHD, multivariate risk equations, and...
211 CitationsSource
#1Ian Jones (University of Salford)H-Index: 7
#2Martin Johnson (University of Salford)H-Index: 26
Background: The role of the coronary care nurse has often been described based on anecdotal evidence. However in a research conscious society it is vital that this important role is able to be defined using research findings. This paper explores the literature in order to describe this role in a research context.Aim: To review the literature to establish the contemporary role of the coronary care nurse.Methods: An electronic search of three healthcare databases to identify all journal articles p...
10 CitationsSource
Abstract At the end of the 19th century, there was both experimental and clinical evidence that coronary artery obstruction causes ventricular fibrillation and sudden death and that fibrillation could be terminated by electric shocks. The dominant figure at that time was McWilliam, who in 1923 complained that “little attention was given to the new view for many years.” This remained so for many decades. It was not until the 1960s that the medical profession became aware of the magnitude of the p...
17 CitationsSource
We can now see that the development of the coronary care unit, which Braunwald [1] has called ‘the single most important advance in the treatment of AMI’, was inevitable. But this was not obvious to most cardiologists of the day because so few of them considered the management of myocardial infarction to be a primary concern. They saw the diagnosis and treatment of congenital and rheumatic heart disease to be their main function. In 1956, when I was training under Paul Wood at the National Heart...
31 CitationsSource
Coronary care units have grown from infancy to maturity in the last 20 years. Major advances have been made in the care of patients suffering from acute myocardial infarction. The first and most important development was in monitoring each patient's electrocardiogram (ECG) for potentially fatal rhythm disturbances. This article reviews the continuously evolving concepts, demands and technology behind such monitoring–an evolution which has far from ended.
2 CitationsSource
39 CitationsSource
#1H. JustH-Index: 1
Uberwachungsstationen fur Infarktkranke bestehen seit ungefahr 8 Jahren. Brown in New York, Day in Kansas City und Julian in Edinburgh berichteten 1962 uber die Moglichkeit, akute Komplikationen von Herzinfarkten in speziell hierfur eingerichteten Stationen erfolgreich zu behandeln. Voraussetzung waren die damals neuen Techniken der unblutigen Herzmassage (Kouvenhoven u. Mitarb.), verbesserte Techniken der Beatmung, die elektrische Unterbrechung von Tachyarrhythmien (Defibrillation, Kardioversio...
1 CitationsSource
Abstract Five years' experience in a coronary care area is summarized, and arrhythmias in 273 patients are analyzed. The present and future status of the coronary care unit and the coronary care nurse are discussed. Unsolved problems related to the care of patients and to mortality in myocardial infarction are briefly touched upon.
43 CitationsSource