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Coronary Care Unit

The Coronary Care Unit rotation provides fellows with experience in caring for critically ill cardiac patients. Under the close supervision of a cardiology attending, fellows will be responsible for the care of CCU patients, assisting and teaching the CCU house staff, and performing and supervising invasive procedures.

Educational Objectives

  • Understand the pathophysiology, diagnosis, and treatment of common CCU conditions, including:
    • Acute coronary syndromes (acute myocardial infarction and unstable angina)
    • Decompensated congestive heart failure and cardiogenic shock
    • Tachyarrhythmias and bradyarrhythmias
    • Aortic dissection
    • Bacterial endocarditis
    • Acute valvular heart disease
    • Pulmonary embolism
  • Enhance knowledge of ventilator management
  • Become proficient in performing the following procedures:
    • Pulmonary artery catheterization (insertion and interpretation)
    • Temporary transvenous pacing
    • Central venous line placement
    • Arterial line placement
    • Intra-aortic balloon counterpulsation
    • Emergency transthoracic echocardiography
  • Develop skill in supervising a team of health care professionals
  • Understand end-of-life issues