摘要:

Hyperthyroidism is a frequently misdiagnosed cause of atrial fibrillation. Difficulties associated with diagnosis are related to physiologic idiosyncrasies, concomitant illnesses, and medication regimens that may alter thyroid function and thyroid function tests. These factors are described. Nurses have a key role in assisting patients to manage hyperthyroidism and atrial fibrillation through case finding, assessment, education, and psychological support.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

The misdiagnosis of wide complex tachycardias often leads to improper treatment and adverse patient outcomes. This article presents a thorough review of the validated electrocardiographs criteriauseful in the diagnosis of ventricular tachycardia versus supraventricular tachycardia with aberrancy. Current information on bedside monitoring, pharmacologic and nonpharmacologic treatment, psychological impact, and discharge planning is discussed.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Radiofrequency catheter ablation is rapidly gaining acceptance as the treatment of choice for many types of symptomatic supraventricular tachycardia (SVT). Introduced in humans in 1987, the procedure has been met with enthusiasm because of its rolative safety and high success rate in curing SVT.1The typical patient with SVT can be both diagnosed and cured during the same electrophysiology study (EPS). Complications are fow, with the majority of patients discharged in less than 48 hours. Nursing care centers on pre- and postprocodural teaching, assessing the effects of radiofrequency energy and implementing nursing orders to prevent postablation complications.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

This study involves 381 patients who received an implantable cardioverter defibrillator (ICD) for management of serious ventricular dysrhythmias and were followed forup to 9 years. The device was effective in preventing sudden cardiac death (SCD), with survival rates of 97% at 3 years and 94% at 5 years. Complication rates were low. Two hundred and twenty-five patients received at least one shock; 2.3 shocks per patient year were roceived. Shocks were categorized as appropriate, indeterminate, or inappropriate. Definitions of these categories and their occurrence are discussed and the characteristics and experiences of these patients are described.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

The authors examined physiologic changes in myocardial infarction patients during a family visit in the cardiac intensive care unit (CICU) and the relationship of these changes to illness variables, patient preference for visits, and patients' perceptions of the supportiveness of the visit. Forty-eight patients were studied for changes in heart rate, blood pressure, ST segment, and oxygen saturation. Patients who had the greatest physiologic changes were among those who had had more severe infarcts. However, many patients in the severe category did not show such changes. Examination of the reactive group revealed that, in addition to having more severe infarcts, it included a greater percentage of smokers than did the nonreactive group. Visit preferences were relatively low, but as visit preferences increased, so did cardiovascular changes. Supportiveness scores were quite high, and these were positively correlated with cardiovascular changes. Clinical and research implications are discussed.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Dealing with the death of a group member can have many important therapeutic benefits for both patients and family members. The bereaved family can benefit from the opportunity to “let go” of the support group and say good-bye to friends who shared a common problem. This article offers a practical guide for helping implantable cardioverter defibrillator (ICD) support group members cope with the death of a group member. The elements of grief work, so-called “curative” factors, and suggestions for leader protocols following death loss of a support group member are discussed.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Wolff-Parkinson-White (WPW) syndrome involves connections of myocardial fibers between the atrium and ventricle that can carry electrical impulses outside of the normal conduction system. Treatment options include pharmacologic management, surgical interruption, antitachycardia do vices, or transvenous catheter ablation. This is a case study of a patient who underwent surgical ablation of an accessory pathway and reoperation because of continued abnormal conduction. She had tachypalpitations after both procedures and later underwent radiofrequency ablation. Nursing care was complicated because she spoke very little English and was extremely anxious about her illness.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

This article reviews and critiques the study by Drew et al1that describes the electrocardiographic monitoring practices of critical care nurses. The study was conductod with a national sample and documented standards of practice. The implications for practice, education, and research are addressed.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID