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Almost every cardiovascular emergency comes down to supply and demand. Something is not getting the blood flow it needs. So before you sort out which disease you're looking at, ask what failed. In acute coronary syndrome, a coronary artery is blocked, so heart muscle is not getting blood. In heart failure, the pump can't move forward what it receives, so blood backs up behind it. In an aortic emergency, the pipe itself is failing.
Three different failures. Three different patients. But your job is the same for all of them: recognize the pattern, give the interventions in your scope, and get the patient to definitive care fast.
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