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cardiology clearance

Page: http://healingfireisland.com/2013/02/26/cardiology-clearance/
Healing Fire Island | Cardiology Clearance

heart attack

If a patient comes for surgery and has a heart problem often they get an ECG and a basic heart history and things proceed as expected.  But sometimes the patient has zingers that make people nervous and they end up with a Cardiology Clearance.  Here a few things that tip-off the Anesthesiologist and lead to a Cardiology Clearance.  Chest pain that is escalating or unstable, blood pressure that is uncontrolled, obesity that has been uncontrolled, diabetes that has been uncontrolled, abnormal ECG, recent heart attack (within 6 months), poor exercise tolerance, non-compliance with significant medications.  History of significant complications during surgery, ICU admission postop.

A patient will need a Cardiology Clearance before surgery DEFINITELY if they present for preop with unstable angina, heart attack within 6 months, or cardiac surgery within 6-12 months.  Recent pacemaker or AICD placement would require patients to have pertinent details available to the anesthesiologist for appropriate intervention if required.

Rocks had a Cardiology Clearance for hip surgery that ended up getting life flighted off island because of crushing chest pain during her stress test. She was a star within two weeks of starting her job.  The clinic owner was relieved that the patient wasn’t on the table, almost certainly arresting under anesthesia.  She had already impressed the unimpressable orthopedist Walter, and the owner was sending out a very sick patient for an emergency cardiac cath to the Heart Institute of Miami by LifeFlight.  Rocks had picked it up.

The clinic was going to need some ‘Cardiac Guidelines’ to avoid cardiac cripples from ending up on the schedule and to educate the community docs as well.  Rocks was already working on a document.  She understood the need for education and the value of avoiding cancellation just before scheduled surgery.

Healing Fire Island.  A work in progress!  By Chery Fee

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21 Comments

  1. Bonjour, rédaction d’un article très bon, très bon pour votre description et moi sommes très appuyé , très chanceux d’être en mesure de voir un bon article !

  2. Thank you, not sure if I find any I will connect to a link! This is why I am writing my book.

    Keep coming back!

    Chery

  3. Try Medline.

    Chery

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    • Thanks, just a review of things I thought someone might find interesting.

      Chery

  6. thank you
    chery

  7. I don’t comment, however after reading through a few of the responses here cardiology clearance | Healing Fire Island. I actually do have a few questions for you if you tend not to mind. Could it be only me or does it appear like some of the responses come across like they are left by brain dead people? 😛 And, if you are posting on additional places, I would like to keep up with everything fresh you have to post. Would you list of all of all your public sites like your twitter feed, Facebook page or linkedin profile?

    • Facebook: cheryfee located in Ponte Vedra Beach
      Twitter: chery fee@chery_fee
      http://www.feefire.com

      Thanks! I appreciate your input! I am working on publishing the book now. Brain-dead? Maybe some, but that’s what makes
      the world go around, there’s a little of everyone around! Peace!

      Chery

  8. Howdy just wanted to give you a quick heads up and
    let you know a few of the pictures aren’t loading correctly. I’m not sure why but I think its a linking issue.
    I’ve tried it in two different browsers and both show the same results.

  9. Thanks! Keep checking! You would like the book,
    Chery

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  11. Curious, you address me as though you think I am male. No worries.
    Chery

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  13. Whats up are using WordPress for your site platform? I’m new to the blog world but I’m trying to get started and create my own. Do you require any html coding knowledge to make your own blog? Any help would be really appreciated! Siatki mosiężne http://ghaw.com.pl/?p=8391

    • Not really. I took one course at a local college, and used wordpress to set it up.
      Chery

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