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Research ArticleContinuing Education

Recognizing and Responding to the Acute Cardiac Stress Patient

Geoffrey Currie and Hosen Kiat
Journal of Nuclear Medicine Technology March 2025, jnmt.125.269450; DOI: https://doi.org/10.2967/jnmt.125.269450
Geoffrey Currie
1Charles Sturt University, Wagga Wagga, New South Wales, Australia;
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Hosen Kiat
1Charles Sturt University, Wagga Wagga, New South Wales, Australia;
2ANU College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia; and
3Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia
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Figures

  • FIGURE 1.
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    FIGURE 1.

    A flowchart of basic principles of recognizing and responding to deteriorating cardiac patient. BP = blood pressure; CPR = cardiopulmonary resuscitation. (Adapted with permission of (8).)

  • FIGURE 2.
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    FIGURE 2.

    Summary flowchart of most likely urgent or emergency patient scenarios encountered among cardiac stress patients in PET. (Adapted with permission of (7).)

  • FIGURE 3.
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    FIGURE 3.

    Schematic representation of adenosine receptor action to cause vasodilation of vascular smooth muscle. ATP = adenosine triphosphate; cAMP = cyclic adenosine monophosphate; cGMP = cyclic guanosine monophosphate; GTP = guanosine triphosphate. (Adapted with permission of (8).)

  • FIGURE 4.
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    FIGURE 4.

    Schematic representation of adenosine receptor action to cause vasodilation of vascular smooth muscle. ATP = adenosine triphosphate; cAMP = cyclic adenosine monophosphate; cGMP = cyclic guanosine monophosphate; GTP = guanosine triphosphate. (Adapted with permission of (8).)

  • FIGURE 5.
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    FIGURE 5.

    Schematic representation of anatomy of ECG.

  • FIGURE 6.
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    FIGURE 6.

    Representation of ECG appearances of normal sinus rhythm (top), sinus bradycardia (middle), and sinus tachycardia (bottom).

  • FIGURE 7.
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    FIGURE 7.

    Representation of ECG appearances of atrial flutter, atrial ectopic, AF, junctional rhythm, and ventricular ectopic.

  • FIGURE 8.
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    FIGURE 8.

    Representation of ECG appearances of VF (top), SVT (middle), and VT (bottom).

  • FIGURE 9.
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    FIGURE 9.

    Representation of ECG appearances of first-degree block (top), second-degree block (middle), and third-degree block (bottom).

  • FIGURE 10.
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    FIGURE 10.

    Representation of ST segment changes on ECG in ischemia with increasing severity from top left (upsloping ST depression) to bottom right (ST elevation).

  • FIGURE 11.
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    FIGURE 11.

    Schematic representation of 5 groups of antiarrhythmic medications (sodium channel, β receptor, potassium channel, calcium channel, and A1 agonism). ATP = adenosine triphosphate; cAMP = cyclic adenosine monophosphate. (Adapted with permission of (8).)

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In this issue

Journal of Nuclear Medicine Technology: 53 (1)
Journal of Nuclear Medicine Technology
Vol. 53, Issue 1
March 1, 2025
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Recognizing and Responding to the Acute Cardiac Stress Patient
Geoffrey Currie, Hosen Kiat
Journal of Nuclear Medicine Technology Mar 2025, jnmt.125.269450; DOI: 10.2967/jnmt.125.269450
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  • Article
    • Abstract
    • THE DETERIORATING PATIENT
    • STRESS TESTING
    • ECG INTERPRETATION
    • CRASH CART
    • CONCLUSION
    • DISCLOSURE
    • Footnotes
    • REFERENCES
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  • Delivery Methods of Radiopharmaceuticals: Exploring Global Strategies to Minimize Occupational Radiation Exposure
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Keywords

  • cardiology
  • ECG interpretation
  • acute deteriorating patient
  • cardiac event
  • stress test
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Recognizing and Responding to the Acute Cardiac Stress Patient
Geoffrey Currie, Hosen Kiat
Journal of Nuclear Medicine Technology Mar 2025, jnmt.125.269450; DOI: 10.2967/jnmt.125.269450

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