Journal of Emergency Practice and Trauma

Does it require to exclude cardiobiliary reflex in every acute coronary syndrome follow up patient with bedside ultrasound on emergency department

Document Type : Letter to Editor

Authors

Mustafa Bolatkale 1
Çağdaş Can 2
Ahmet Çağdaş Acara 3
Mustafa Topuz 4

1 Medipol University Hospital, İstanbul, Turkey

2 Manisa State Hospital, Manisa, Turkey

3 Gaziemir State Hospital, İzmir, Turkey

4 Adana Numune Education and Research Hospital, Department of Cardiology, Adana, Turkey

https://doi.org/10.15171/jept.2016.13
Abstract
 In emergency department, physicians can diagnose pulseless electrical activity, asystole, pericardial effusions, ischemic heart disease, wall motion abnormalities, valvular cardiac disease volume status or global cardiac function evaluating with electrocardiographic findings or using bedside cardiac ultrasonography. But these two methods are not always sufficient to explain the underlying another pathologies such as pancreatitis and acute cholecystitis which can mimick acute cardiac events. Patients who are followed up with a preliminary diagnosis of acute coronary syndrome in the emergency department, might have underlying biliary or pancreatic pathologies, or even more, these might be the sole reason of the clinical picture. So bedside abdomen ultrasonography and liver enzymes may be requested in all patients with suspected cardiac pathology with a normal cardiac ultrasonography when a patient presented with acute chest or abdominal pain. Physicians must be aware for coexisting pathophysiologies and take into account the differential diagnosis of all life-threatening causes such as cardiac ischemia or acute abdominal situations. So the diagnostic tests for gallbladder pathology could be added to cardiac ultrasonography.
 
 

Keywords

Cardiobiliary reflex
Acute coronary syndrome
Ultrasound
Subjects
 
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Journal of Emergency Practice and Trauma
Volume 3, Issue 2
July 2017
Pages 40-41

  • Receive Date 29 August 2016

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