Harbor:C-Team admissions

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C-team Admission Criteria

  1. ST elevation MI
  2. Ischemic chest pain AND
    1. Positive troponin OR
    2. At least 1 mm labile ST depression OR
    3. Heart failure/pulmonary edema
  3. Ischemic chest pain + prior PCI or CABG within the previous 6 months
  4. Congenital heart disease
    1. Complex congenital heart disease OR
    2. Surgically uncorrected congenital heart disease OR
    3. Cyanotic congenital heart disease with cardiac symptoms
  5. Symptomatic arrhythmias – tachycardia, bradycardia or ectopy
  6. Class IV heart failure after treatment in ED (IV diuresis x 2, BP control)
  7. Tamponade
  8. Critical aortic stenosis
  9. Endocarditis
  10. Aortic dissection declined by surgery
  11. Pulmonary hypertension followed by Dr. Oudiz (in pulmonary HTN clinic)
  12. Patients accepted from other facilities by cardiology
  13. Patients admitted from cardiology clinic for a cardiac problem
  14. Return of Spontaneous Circulation (ROSC) patients receiving hypothermia protocol

Patients who could likely be managed on a different team + cardiology consult

  1. Patients with prosthetic valves, AICDs or pacemakers who do not have primary cardiac issue
  2. Intermediate risk ACS
  3. Heart failure class I, II or III

Patients who might be appropriate for CORE

  1. Patients with low or intermediate risk ACS
  2. Heart failure class I, II, or III