scholarly journals Hubungan Kualitas Tidur Dengan Status Hemodinamik Pada Pasien IMA Di Ruang ICVCU RSUD Dr. Moewardi Tahun 2016

2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Syifa Mutia Desiani
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Rate ◽  
Sleep Quality ◽  
Respiratory Rate ◽  
Sleep Problems ◽  
P Value ◽  
Hemodynamic Status ◽  
Spearman Test ◽  
The Relationship

Background. Acute Myocardial Infraction can have unique manifestations in individual patients, such as shortness of breath, pale, headache, nausea, vomiting, and the most common presenting symptoms of myocardial infarction is chest pain. The clinical symptoms of a patient with Acute Myocardial Infarction (AMI) can cause a nursing problem and basic human problem. For example, chest pain can cause sleep problems. Sleep problems can influence the hemodynamics of a patient. The goal of this research is to find of correlation between sleep quality with a hemodynamic status of a patient with AMI. Methods. The research used descriptive analytic with the cross-sectional approach. The total sample is 30 respondents, assessing the quality of sleep using questioners sheet and to measure hemodynamic by observation sheet. Analysis of correlation data used a Spearman test. The Results. The result of research obtained 43,3% had mild sleep problems, 50% had moderate sleep problems, 6,7% had severe sleep problems. The result of analysis statistic with Spearman test shows that relationship between sleep quality with MAP obtained significance (p-value) 0,003, the relationship between sleep quality with heart rate obtained significance (p-value) 0,0001, and the relationship between sleep quality with respiratory rate obtained significance (p-value) 0,0001. Based on significance value there is a correlation between sleep quality with hemodynamic status (MAP, heart rate, respiratory rate) of patients with Acute Myocardial Infarction (AMI). Conclusion. There is a correlation between sleep quality with hemodynamic status (MAP, heart rate, and respiratory rate) of patients with Acute Myocardial Infarction (AMI) in ICVCU Dr.Moewardi Hospital.

scholarly journals Reduced left atrial strain in magnetic resonance imaging is associated with abnormal P-waves in patients after acute myocardial infarction

2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
M Wester ◽  
J Pec ◽  
C Fisser ◽  
K Debl ◽  
O Hamer ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Linear Regression ◽  
Left Atrial ◽  
Regression Models ◽  
Linear Regression Analysis ◽  
P Wave ◽  
P Value ◽  
Linear Regression Models ◽  
The Relationship

Abstract Funding Acknowledgements Type of funding sources: Public hospital(s). Main funding source(s): ReForM-B-Program Background Abnormal P-wave terminal force in lead V1 (PTFV1) is associated with atrial remodeling. The relationship between PTFV1 and atrial function after acute myocardial injury is insufficiently understood and may be elucidated by detailed feature tracking (FT) strain analysis of cardiac magnetic resonance images (CMR). Purpose We investigated the relationship between PTFV1 and left atrial (LA) strain (measured by CMR) in a patient cohort presenting with acute myocardial infarction (MI). Methods 56 patients with acute MI underwent CMR within 3-5 days after MI. PTFV1 was measured as the product of negative P-wave amplitude and duration in lead V1 (Fig. A). A PTFV1 >4000 ms*µV was defined as abnormal. CMR cine data were retrospectively analyzed using a dedicated FT software. LA strain (ε) and strain rate (SR) for atrial reservoir ([εs]; [SRs]), conduit ([εe]; [SRe]) and booster function ([εa]; [SRa]) were measured in two long-axis views (Fig. A). Results Patients with abnormal PTFV1 had significantly reduced LA conduit function εe and SRe (Fig. B + D). There was a significant negative correlation between the extent of PTFV1 and both εe and SRe (Fig. C + E). In univariate and multivariate regression models, both PTFV1 and age predicted atrial conduit function. In contrast, multiple clinical co-factors had no significant influence on εe (Table). Interestingly, linear regression models revealed only mild dependency of PTFV1 on conventional parameters of cardiac function such as left ventricular ejection fraction (p = 0.059; R²(adj.)=0.047), and no dependency on structural parameters such as LA area (p = 0.639; R²(adj.)=0.016), or LA fractional area change (p = 0.825; R²(adj.)=0.020). Conclusion Abnormal PTFV1 was associated with reduced LA function independent from numerous clinical co-factors in patients presenting with acute myocardial infarction. Table N = 56 Linear Regression Analysis Multiple Linear Regression Analysis (R2 (adj.)=0.376, p = 0.016) Variable B 95% CI P value R2 (adj.) B 95% CI P value PTFV1 [µV*ms] -1.628 17085.298 to 27210.854 0.013 0.092 -1.315 -2.614 to -0.016 0.047 Age [y] -425.775 24985.168 to 54634.995 0.002 0.145 -610.815 -982.78 to -238.849 0.001 Body mass indes [kg/m2] -185.653 -3259.187 to 47020.775 0.671 -0.015 -506.096 -1327.357 to 315.165 0.219 Creatinine kinase [U/l] -1.571 14806.991 to 24842.272 0.121 0.027 -1.791 -3.72 to 0.138 0.067 Male sex -893.28 10701.206 to 23504.066 0.802 -0.017 4275.631 -3842.517 to 12393.78 0.292 Estimated glomerular filtration rate [ml/min/1.73m2] 88.617 -4564.177 to 21395.361 0.202 0.012 -163.981 -331.343 to 3.381 0.054 Systolic blood pressure [mmHg] -2.001 14045.786 to 22037.253 0.095 0.038 29.331 -108.243 to 166.906 0.668 nt-pro brain natriuretic peptide [pg/ml] 24.629 -4060.804 to 30920.828 0.716 -0.016 1.015 -1.778 to 3.809 0.466 Univariate and multivariate linear regression models for left atrial conduit strain Abstract Figure

scholarly journals The effect of deep breathing test on heart rate variability in obese and non-obese patients with myocardial infarction

Biomedicine ◽  
2021 ◽  
Vol 41 (1) ◽  
pp. 93-98
Author(s):  
Srinath C. Galag ◽  
R Rajalakshmi ◽  
Nagaraj Desai ◽  
H Basavanagowdappa
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Obese Group ◽  
Total Power ◽  
P Value ◽  
Obese Patients ◽  
Deep Breathing ◽  
Deep Breathing Test

Introduction and Aim:Obesity and metabolic syndrome increases the risk of cardiovascular diseases (CVD).The acute myocardial infarction may be associated with autonomic dysfunction and it may have a bearing on the prognosis. The objective of the study wasto examine the effect of deep breathing test on heart rate variability in obese and non-obese patients with myocardial infarction (MI).   Materials and Methods:The patients with acute myocardial infarction were confirmed by universal definition and treatment was administered. At 12 weeks of follow up, the MI patients were screened and divided into two groups. 30 patients of MI with BMI 25 to 30 kg/m2 formed the obese group.30 patients of MI with BMI 18.5 to 24.9 kg/m2 formed the non-obese group. The baseline ECG was taken for 5 minutes by using Niviqure B3 machine for HRV analysis. Then, deep breathing test (DBT) was performed in a standardized manner.   Results:The two groupswere well matched for the age (53.7±11.5 vs.55.2±9.2years).In the baseline there was a statistically significant decrease in the total power (TP) of the heart i.e., HF plus LF (2178±762ms2 vs2991±771ms2 with a ‘p’ value 0.001) in the obese group when compared to non-obese group. On DBT there was a significant decrease in heart rate (81bpm to 65bpm) in non-obese group. However, in obese group there was no significant decrease in heart rate (79bpm to 72bpm) on DBT.   Conclusion: Accordingly, we concludethat in obese patients with MI there is a reduction in respiratory vagal modulation of heart rate during DBT.  

scholarly journals The Relationship between Sleep Quality with Depression in Patient with Acute Myocardial Infarction

2018 ◽  
Vol 12 (6) ◽  
pp. 29-38
Author(s):  
Hamid Sharif Nia ◽  
Ravanbakhsh Esmaeili ◽  
Ameneh Yaghoobzadeh ◽  
Sima Beik ◽  
Amir Hossein Goudarzian ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Sleep Quality ◽  
The Relationship

scholarly journals EFFECT OF ACCUPRESSURE ON QUALITY OF SLEEP AND PULSE RATE IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

2017 ◽  
Vol 3 (4) ◽  
pp. 360-369 ◽  
Author(s):  
Eko Rustamaji Wiyatno ◽  
Rr. Sri Endang Pujiastuti ◽  
Titin Suheri ◽  
Djenta Saha
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Sleep Quality ◽  
Pulse Rate ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Control Group ◽  
P Value ◽  
Quality Of Sleep

Background: Patients with acute myocardial infarction have a change in sleep pattern. Acupressure is identified as a therapy with the principle of healing to deal with sleep changes.Objective: To analyze the effect of acupressure on sleep quality and pulse rate in patients with acute myocardial infarction.Methods: This study employed a quasi-experiment study with non randomized pretest-posttest with control group design. There were 50 respondents selected in this study, with 25 assigned in the intervention and control group using consecutive sampling. Quality Sleep Questionnaire and bedside monitor were used to measure sleep quality and pulse rate. Accupressure in combination of Neiguan point (PC 6), Shenmen (HT7), Sanyinjiao (SP6), Yintang (EX3) and Tay (EX5) was given as the nursing intervention in this study. Data were analyzed using paired t-test and independent t-test.Results: There was statistically a significant increase of quality of sleep and significant decrease of pulse rate in the intervention group with p-value 0.000 (<0.05).Conclusion: Accupressure has a significant effect on the increase of sleep quality and the decrease of pulse rate in patients with acute myocardial infarction. Thus, it is suggested that accupressure could be one of the nursing intervention for AMI patients to increase sleep quality and decrease of pulse rate.

Effects of relaxing music on cardiac autonomic balance and anxiety after acute myocardial infarction

1999 ◽  
Vol 8 (4) ◽  
pp. 220-230 ◽  
Author(s):  
JM White
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Rate ◽  
Respiratory Rate ◽  
Oxygen Demand ◽  
Control Group ◽  
Myocardial Oxygen Demand ◽  
Treatment As Usual ◽  
Physiological Indicators ◽  
Experimental Group

BACKGROUND: Acute myocardial infarction places additional demands on an already compromised myocardium. Relaxing music can induce a relaxation response, thereby reversing the deleterious effects of the stress response. OBJECTIVES: To compare the effects of relaxing music; quiet, uninterrupted rest; and "treatment as usual" on anxiety levels and physiological indicators of cardiac autonomic function. METHODS: A 3-group repeated measures experimental design was used. Forty-five patients, 15 per group, with acute myocardial infarction were assigned randomly to 20 minutes of (1) music in a quiet, restful environment (experimental group); (2) quiet, restful environment without music (attention); or (3) treatment as usual (control). Anxiety levels and physiological indicators were measured. RESULTS: Immediately after the intervention, reductions in heart rate, respiratory rate, and myocardial oxygen demand were significantly greater in the experimental group than in the control group. The reductions in heart rate and respiratory rate remained significantly greater 1 hour later. Changes in heart rate, respiratory rate, and myocardial oxygen demand in the attention group did not differ significantly from changes in the other 2 groups. The 3 groups did not differ with respect to systolic blood pressure. Increases in high-frequency heart rate variability were significantly greater in the experimental and attention groups than in the control group immediately after the intervention. State anxiety was reduced in the experimental group only; the reduction was significant immediately and 1 hour after the intervention. CONCLUSIONS: Patients recovering from acute myocardial infarction may benefit from music therapy in a quiet, restful environment.

PENGARUH TINDAKAN MOBILISASI DINI TERHADAP DENYUT JANTUNG DAN FREKUENSI PERNAPASAN PADA PASIEN KRITIS DI ICU RSUD SLEMAN YOGYAKARTA

2019 ◽  
Vol 5 (3) ◽  
pp. 213-223
Author(s):  
Muhamat Nofiyanto ◽  
Tetra Saktika Adhinugraha
Keyword(s):  
Heart Rate ◽  
Respiratory Rate ◽  
Early Mobilization ◽  
Critical Conditions ◽  
P Value ◽  
Cardiorespiratory Function ◽  
Arterial Blood ◽  
Post Test ◽  
Critical Patients ◽  
Security Standards

Background: Patients with critical conditions in the ICU depend on a variety of tools to support their lifes. Patients’ conditions and and their unstable hemodynamic are challenges for nurses to perform mobilization. Less mobilization in critical patients can cause a variety of physical problems, one of them is cardiorespiratory function disorder. Objective: to investigate differences in heart rate (HR) and respiratory rate (RR) before, during, and immediately after early mobilization. Methods: This study employed quasi experiment with one group pre and post test design. Twenty four respondents were selected based on the criteria HR <110 / min at rest, Mean Arterial Blood Pressure between 60 to 110 mmHg, and the fraction of inspired oxygen <0.6. Early mobilization was performed to the respondents, and followed by assessments on the changes of respiratory rate and heart rate before, during, and immediately after the mobilization. Analysis of differences in this study used ANNOVA. Results: Before the early mobilization, mean RR was 22.54 and mean HR was 78.58. Immediately after the mobilization,  mean RR was 23.21 and mean HR was 80.75. There was no differences in the value of RR and HR, before and immediately after the early mobilization with the p-value of 0.540 and 0.314, respectively. Conclusions: Early mobilization of critical patients is relatively safe. Nurses are expected to perform early mobilization for critical patients. However, it should be with regard to security standards and rigorous assessment of the patient's conditions. Keywords: Early mobilization, critical patients, ICU

Heart Rate Variability Assessment Early After Acute Myocardial Infarction

Circulation ◽  
1996 ◽  
Vol 93 (7) ◽  
pp. 1388-1395 ◽  
Author(s):  
Narendra Singh ◽  
Dmitry Mironov ◽  
Paul W. Armstrong ◽  
Allan M. Ross ◽  
Anatoly Langer
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Rate ◽  
Heart Rate Variability
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