Valente Serafina, Lazzeri Chiara, Sori Andrea, Giglioli Cristina, Bernardo Pasquale, Gensini Gian Franco
Intensive Cardiac Care Unit, Heart and Vessel Department, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
J Cardiovasc Med (Hagerstown). 2007 Mar;8(3):181-7. doi: 10.2459/JCM.0b013e32801261e3.
To evaluate the evolution of intensive cardiac care units (ICCUs) in the third millenium by assessing the activity and the workload of our ICCU which is a Hub center, from 1 January 2004 to 30 June 2005.
Among the 1397 patients consecutively admitted to our ICCU, 40.5% came from Spokes. Patients with ST elevation myocardial infarction comprised 29.5% of the entire population: all of them were admitted to ICCU after mechanical reperfusion.
The incidences of ventricular fibrillation (1%) and complete AV block (0.6%) are low in our patients. The most frequent complications were acute renal failure requiring renal replacement therapy (4.4%) and vascular and hemorrhagic complications (4.3%).
Our ICCU is a post-reperfusion unit for treating complications of therapy and older and more complex patients who require more intensive care. This is why the cardiac intensivists also need to be skilled in general intensive care. In the Integrated Cardiac Network (Hub-and-Spoke model), ICCUs play a crucial role in the management of all cardiac emergencies, and in maintaining a continuous and strict interplay with Spokes, they have a prominent and unique role in the selection and early treatment of acute cardiac patients and their follow-up.
通过评估作为枢纽中心的我们的重症监护病房（ICCU）在2004年1月1日至2005年6月30日期间的活动和工作量，来评价第三个千年中重症监护病房的发展情况。
在连续入住我们ICCU的1397例患者中，40.5%来自分支中心。ST段抬高型心肌梗死患者占全部患者的29.5%：所有这些患者均在机械再灌注后入住ICCU。
我们的患者中心室颤动（1%）和完全性房室传导阻滞（0.6%）的发生率较低。最常见的并发症是需要肾脏替代治疗的急性肾衰竭（4.4%）以及血管和出血性并发症（4.3%）。
我们的ICCU是一个用于治疗治疗并发症以及需要更强化治疗的老年和更复杂患者的再灌注后单元。这就是为什么心脏重症监护医生也需要具备普通重症监护技能的原因。在综合心脏网络（枢纽 - 分支模式）中，ICCU在所有心脏急症的管理中发挥着关键作用，并且在与分支中心保持持续且严格的相互作用方面，它们在急性心脏病患者的选择、早期治疗及其随访中具有突出且独特的作用。
