PMID- 33966127 OWN - NLM STAT- MEDLINE DCOM- 20220112 LR - 20220112 IS - 1861-0692 (Electronic) IS - 1861-0684 (Linking) VI - 110 IP - 9 DP - 2021 Sep TI - New challenges in cardiac intensive care units. PG - 1369-1379 LID - 10.1007/s00392-021-01869-0 [doi] AB - Critical care cardiology is a steadily and rapidly developing sub-specialization within cardiovascular medicine, since the first emergence of a coronary care unit in the early 1960s. Today, modern cardiac intensive care units (CICU) serve a complex patient population with a high burden of cardiovascular and non-cardiovascular critical illnesses. Treatment of these patients requires a multidisciplinary approach, with a combination of highly specialized knowledge and skills in cardiovascular diseases, as well as emergency, critical-care and internal medicine. The CICU has always posed special challenges to both experienced intensivists as well as fellows-in-training (FIT) and is certainly one of the most demanding training phases. In recent years, these challenges have grown significantly owing to technological innovations, with new and steadily rising numbers of complex interventional procedures and new options for temporary circulatory support for critically ill patients, such as venoarterial extracorporeal membrane oxygenation (VA-ECMO). Herein, we focus on the successful CICU management of these special patient cohorts, which must become an integral part of critical-care training. CI - (c) 2021. Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Lusebrink, Enzo AU - Lusebrink E AUID- ORCID: 0000-0002-3214-5672 AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. FAU - Kellnar, Antonia AU - Kellnar A AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. FAU - Scherer, Clemens AU - Scherer C AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. FAU - Krieg, Kathrin AU - Krieg K AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. FAU - Orban, Mathias AU - Orban M AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. FAU - Petzold, Tobias AU - Petzold T AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. FAU - Peterss, Sven AU - Peterss S AD - Herzchirurgische Klinik und Poliklinik, Klinikum der Universitat Munchen, Munich, Germany. FAU - Kaab, Stefan AU - Kaab S AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. FAU - Brunner, Stefan AU - Brunner S AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. FAU - Braun, Daniel AU - Braun D AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. FAU - Hagl, Christian AU - Hagl C AD - Herzchirurgische Klinik und Poliklinik, Klinikum der Universitat Munchen, Munich, Germany. FAU - Hausleiter, Jorg AU - Hausleiter J AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. FAU - Massberg, Steffen AU - Massberg S AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. FAU - Orban, Martin AU - Orban M AD - Cardiac Intensive Care Unit, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Marchioninistrasse 15, 81377, Munich, Germany. MartinOrban@gmail.com. AD - DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Medizinische Klinik und Poliklinik I, Klinikum der Universitat Munchen, Munich, Germany. MartinOrban@gmail.com. LA - eng PT - Journal Article DEP - 20210509 PL - Germany TA - Clin Res Cardiol JT - Clinical research in cardiology : official journal of the German Cardiac Society JID - 101264123 SB - IM MH - Cardiology/*trends MH - Cardiovascular Diseases/therapy MH - Clinical Competence MH - Coronary Care Units/*organization & administration/trends MH - Critical Care/*methods/trends MH - Critical Illness/therapy MH - Extracorporeal Membrane Oxygenation/methods MH - Humans OTO - NOTNLM OT - Cardiac intensive care units OT - Interventional cardiology OT - Interventional procedures OT - Venoarterial extracorporeal membrane oxygenation EDAT- 2021/05/10 06:00 MHDA- 2022/01/13 06:00 CRDT- 2021/05/09 21:01 PHST- 2021/01/07 00:00 [received] PHST- 2021/05/04 00:00 [accepted] PHST- 2021/05/10 06:00 [pubmed] PHST- 2022/01/13 06:00 [medline] PHST- 2021/05/09 21:01 [entrez] AID - 10.1007/s00392-021-01869-0 [pii] AID - 10.1007/s00392-021-01869-0 [doi] PST - ppublish SO - Clin Res Cardiol. 2021 Sep;110(9):1369-1379. doi: 10.1007/s00392-021-01869-0. Epub 2021 May 9.