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Cardiac Emergencies and Related Disorders: Their Mechanism, Recognition and Management

Harold D. Levine, M.D.
JAMA. 1961;175(10):927. doi:10.1001/jama.1961.03040100091034.
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According to the author, this monograph is a synthesis of the medical thinking at the Brigham Hospital on left ventricular failure, shock and hypotension, chest pain and coronary emergencies, pulmonary infarction and cor pulmonale, refractory congestive failure, electrolyte disturbances, digitalis intoxication, paroxysmal atrial tachycardia, atrial flutter, atrial tachycardia, atrial fibrillation, paroxysmal ventricular tachycardia, Adams-Stokes disease, syncope, cardiac arrest and resuscitation, and miscellaneous emergencies. It covers more than the emergencies, however. It is written primarily for the internist, general practitioner, and medical intern. The monograph is weak in its description of the surgical aspects of cardiac emergencies. There is, for example, no reference to a fundamentally different concept which concerns generalized and localized anoxia in the heart. The author states that "a respectable proportion of Demerol addiction has its roots in the soil of refractory coronary insufficiency." It is scarcely believable that a scientist would prefer meperidine addiction to surgical operation.


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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