摘要:

Few areas of clinical medicine have undergone advancements in the last decade as dramatic as those in the management of acute myocardial infarction (AMI). Nursing care of the AMI patient should be based on a comprehensive knowledge of the pathophysiology involved in order to intervene appropriately, understand medical therapies utilized, and anticipate complications. This article offers an in-depth review and update of the pathophysiology of AMI, current recommendations regarding management of the patient with acute infarction, and an overview of complications that still pose a threat to recovery in some patients.

ISSN:0889-4655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Mitral regurgitation as a complication of myocardial infarction may be caused by papillary muscle dysfunction, papillary muscle rupture, or rupture of the chordae tendineae. Prompt diagnosis and intervention are necessary to reduce associated mortality and morbidity. The cardiovascular nurse is integrally involved in all phases of treatment for this condition. The pathophysiology, clinical course, and current treatment modalities utilized for postinfarction mitral regurgitation are described, enabling the cardiovascular nurse to develop a comprehensive plan of care.

ISSN:0889-4655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

This article discusses rupture of the free wall of the left ventricle and ventricular septal defect (VSD). Although both entities occur infrequently, they remain prominent causes of death from acute myocardial infarction (AMI). Rupture of the free wall varies from an acute tear to a slow, incomplete, or subacute rupture. A VSD resulting from an AMI may be simple or complex. A simple rupture is a direct opening in the ventricular system. A complex rupture ascribes an undulating course. Although VSD is potentially amendable to surgical therapy, free wall rupture is usually immediately fatal.Because rapid identification with aggressive treatment potentially influences patient outcome, cardiovascular nurses need to be able to rapidly identify patients experiencing these cardiac rupture syndromes. Nurses provide the important physiologic and psychosocial support that is necessary for patient survival and successful adaptation.

ISSN:0889-4655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

The diagnosis of acute pericarditis may be difficult to establish in patients with recent transmural infarcts as the symptomatology frequently mimics the clinical presentation associated with recurrent ischemia. A careful assessment of the postmyocardial infarction patient may reveal the clinical and electrocardiographic features associated with developing pericarditis. Prompt and accurate recognition of this complication is critical in order to institute definitive therapy, minimize the risk of hemodynamic compromise, and provide psychological support.

ISSN:0889-4655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Psychosocial adjustment following myocardial infarction (MI) has received significant research attention during the past 20 years. This article highlights research addressing the relationship of anxiety, depression, and denial in influencing specific outcomes following MI. Additional research describing patterns of emotional response to MI is also included. Based on reported research, specific nursing interventions, in a care plan format, are suggested to foster positive psychosocial outcomes in the post-MI patient. Even though a significant amount of research has been completed on this subject, definitive conclusions regarding patient management supportive of positive outcomes are not possible. Suggestions for future research focus on this topic area are identified.

ISSN:0889-4655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

This article summarizes the literature and suggests directions for future research concerning rehabilitation potential, impairment, and reduced cardiac output after myocardial infarction (MI). Current evidence suggests that cardiac output and maximal exercise capacity are reduced in some post-MI patients. The conceptual model of rehabilitation potential presented emphasizes the need for careful assessment of the state of underlying pathology present after MI when evaluating the response to exercise or exercise training.

ISSN:0889-4655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

With early detection and timely intervention, the effects of ischemia are reversible. Without intervention, ischemia causes myocardial injury, which is usually evidenced by ST elevation. Computerized ST segment analysis performed by the bedside monitor can assist clinicians in the early recognition of ischemia, allowing prompt intervention and timely evaluation of treatment effectiveness.

ISSN:0889-4655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Current nursing research has focused on the psychosocial complications and adjustment following myocardial infarction (MI).1-7Depression can impair optimal recovery by the patient and family after MI. This article reviews and critiques two nursing studies related to depression. The first study focuses on reliably assessing depression in the post-MI patient. The second study explores the psychophysiologic link between depression and hypoxia. Implications for practice and further research are discussed.

ISSN:0889-4655    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0889-4655    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0889-4655    

出版商:OVID    

年代:1992

数据来源: OVID