scholarly journals Haemodynamic Monitoring in the Management Of Cardiogenic Shock in Coronary Care Units

Curationis ◽  
1978 ◽  
Vol 1 (2) ◽  
Author(s):  
L.A. Schreiber
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Nursing Care ◽  
Cardiac Monitoring ◽  
Haemodynamic Monitoring ◽  
The Past ◽  
Life Threatening ◽  
Coronary Care ◽  
Coronary Care Units

The management and nursing care of patients suffering from acute myocardial infarction has changed dramatically over the past decade. With the establishment of coronary care units offering facilities for cardiac monitoring and staffed with nurses holding a post-basic diploma in intensive nursing, the prevention or effective treatment of life-threatening arrhythmias became feasible and many have survived as a result of this intensive and skilled care.

scholarly journals Monitoring Acute Myocardial Infarction Complicated with Cardiogenic Shock — from the Emergency Room to Coronary Care Units

2017 ◽  
Vol 3 (2) ◽  
pp. 61-71
Author(s):  
Andreea Barcan ◽  
Zsuzsanna Suciu ◽  
Emese Rapolti
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Coronary Care Unit ◽  
Therapeutic Interventions ◽  
Assessment And Monitoring ◽  
Novel Biomarkers ◽  
Coronary Care ◽  
Critical Patients ◽  
Coronary Care Units

AbstractCardiogenic shock remains the leading cause of death in patients hospitalized for acute myocardial infarction, despite many advances encountered in the last years in reperfusion, mechanical, and pharmacological therapies addressed to stabilization of the hemodynamic condition of these critical patients. Such patients require immediate initiation of the most effective therapy, as well as a continuous monitoring in the Coronary Care Unit. Novel biomarkers have been shown to improve diagnosis and risk stratification in patients with cardiogenic shock, and their proper use may be especially important for the identification of the critical condition, leading to prompt therapeutic interventions. The aim of this review was to evaluate the current literature data on complex biomarker assessment and monitoring of patients with acute myocardial infarction complicated with cardiogenic shock in the Coronary Care Unit.

Intensive cardiovascular care units: structure, organization, and staffing

2021 ◽  
pp. 11-24
Author(s):  
Eric Bonnefoy-Cudraz ◽  
Tom Quinn
Keyword(s):  
Myocardial Infarction ◽  
Cardiovascular Disease ◽  
Acute Myocardial Infarction ◽  
Working Group ◽  
Life Threatening ◽  
Coronary Care ◽  
The 1960S ◽  
And Function ◽  
Cardiovascular Care

The nature and complexity of acute cardiovascular care has changed markedly since the early days of the coronary care unit (CCU), introduced in the 1960s to prevent and treat life threatening arrhythmias associated with acute myocardial infarction. In the present day, the patient population is older, has more multimorbidity, comprises a range of conditions alongside critical cardiovascular disease and associated multi-organ failure, requiring increasingly sophisticated management. To reflect this, the Acute Cardiovascular Care Association (ACCA) published a comprehensive update of recommendations in 2018, developed by a multinational working group of experts. These recommendations, which inform this chapter, address the definition, structure, organisation and function of the contemporary intensive cardiovascular care unit (ICCU). Reflecting the modern casemix, three levels of acuity of care are described, and corresponding requirements for ICCU organisation defined. Recommendations on ICCU staffing (medical, nursing and allied professions), equipment and architecture, are presented, alongside considerations of the role of the ICCU within the wider hospital and cardiovascular care network.

scholarly journals Analysis of Nursing Care of Acute Myocardial Infarction

2012 ◽  
Vol 1 ◽  
pp. 7
Author(s):  
Xiaoling Zhao
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Retrospective Analysis ◽  
Clinical Improvement ◽  
Nursing Care ◽  
Improvement Rate ◽  
Clinical Nursing ◽  
Hospitalization Time

<p><strong>Objective:</strong> To investigate and improve the clinical nursing care method of acute myocardial infarction. <strong>Methods: </strong>Make a retrospective analysis of the clinical data for 69 cases of acute myocardial infarction from January 2009 to December 2012 in our hospital and summarize the clinical nursing method. <strong>Results:</strong> 63 from 69 patients are improved after being rescued and nursed through the above-mentioned method, and improvement rate was 92.0%. 5 patients were died (all of them were died from the heart failure), which the mortality is 8.0%. Wherein the complicated arrhythmia cases were 24, the complicated cardiogenic shock cases were 12, hospitalization time: 4‒17 days, and the average hospitalization time is 9.2 days.<strong> Conclusion:</strong> The strengthened nursing cooperation of acute myocardial infarction for patients may enhance clinical improvement rate and improve the prognosis.</p>

scholarly journals Assistência de enfermagem no choque cardiogênico pós infarto agudo do miocárdio

2011 ◽  
Vol 1 (2) ◽  
pp. 17
Author(s):  
Thaís Mello de Souza ◽  
Marcelo Gomes de Carvalho
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Nursing Care ◽  
Tissue Perfusion ◽  
Rapid Diagnosis ◽  
Mortality And Morbidity ◽  
Heart Attacks ◽  
Brazilian Society ◽  
Adequate Tissue

Infarto agudo do miocárdio é um foco de necrose resultante da perfusão inadequada do tecido. No Brasil, admite-se uma incidência em torno de 300.000 infartos por ano. O choque cardiogênico é uma situação de hipoperfusão tecidual sistêmica devido à incapacidade do músculo cardíaco fornecer débito adequado às necessidades do organismo. Estudo de revisão bibliográfica com objetivo revisar e avaliar acerca da assistência de enfermagem no choque cardiogênico pós infarto agudo do miocárdio. O rastreamento foi feito nas bases de LILACS e SciELO. A Sociedade Brasileira de Cardiologia publica, desde 1995, suas diretrizes de tratamento do infarto agudo do miocárdio visando normatizar o tratamento, com o intuito de obter melhores resultados reduzindo a mortalidade e a morbidade. A chave para o tratamento de sucesso é o rápido diagnóstico e sempre que possível à realização de exames complementares.Descritores: Infarto Agudo do Miocárdio, Enfermagem, Choque Cardiogênico. Nursing care in cardiogenic shock after acute myocardial infarctionAbstractAcute myocardial infarction is a focus of necrosis resulting from in adequate tissue perfusion. In Brazil, it is assumed an incidence of approximately 300.000 heart attacks each year. Cardiogenic shock is a situation of systemic tissue hypo perfusion due to the inability of the heart muscle to provide rates suitable to the needs of the organism. Study literature review aimed at reviewing and evaluating nursing care on in cardiogenic shock after acute myocardial infarction. The screening was done on the basis of LILACS and SciELO. The Brazilian Society of Cardiology published since 1995, its guidelines for treatment of acute myocardial infarction in order to standardize the treatment in order to get better results by reducing mortality and morbidity. The key to successful treatment is rapid diagnosis and whenever possible to carry out additional tests.Descriptors: Acute Myocardial Infarction, Nursing, Cardiogenic Shock. Cuidados de enfermería em el shock cardiogénico trás um infarto agudo de miocárdioResumenInfarto agudo de miocardio es un foco de necroses resultante de la perfusión tissular inadecuada. En Brasil, se assume una incidência de aproximadamente 300.000 ataques al corazón cada año. El shock cardiogênico es una situación de hipoperfusión tissular sistémica debido a la incapacidade del músculo del corazón para proveer niveles adecuados a las necesidades del organismo. Revisión de estúdio de la literatura dirigida a examinar y evaluar los cuidados de enfermeira en situación de shock cardiogênico tras un infarto agudo de miocardio. La selección se hizo sobre la base de LILACS y SciELO. La Sociedad  Brasileña de Cardiología publicó desde 1995, sus directrices para el tratamento del infarto agudo de miocardio con el fin de estandarizar el tratamento con el fin de obtener mejores resultados mediante la reducción de la mortalidady la morbilidad. La clave para el éxito del tratamento es el diagnóstico rápido y siempre que se a posible para llevar a  cabopruebas adicionales.Descriptores: Infarto Agudo de Miocardio, Enfermería, Shock Cardiogénico.

Care of acute myocardial infarction in the coronary care units of Piedmont in 2007

2013 ◽  
Vol 14 (5) ◽  
pp. 354-363 ◽  
Author(s):  
Giuseppe Steffenino ◽  
Alessandra Chinaglia ◽  
Patrizia Noussan ◽  
Mauro Alciati ◽  
Sergio Bongioanni ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Care ◽  
Coronary Care Units

Myocardial Infarction Registry conducted forty years ago in Hungary

2011 ◽  
Vol 152 (20) ◽  
pp. 793-796 ◽  
Author(s):  
Iván Gyárfás ◽  
András Jánosi ◽  
Péter Ofner
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Mortality Rate ◽  
Epidemiologic Methods ◽  
Literature Search ◽  
Population Level ◽  
First Year ◽  
Incidence And Mortality ◽  
Coronary Care ◽  
Coronary Care Units

Aims: Authors summarize the most important findings of the Myocardial Infarction Community Registry conducted in Hungary 40 years ago. The report is important because data are not available on the internet through literature search and since 40 years such study has not been performed. The incidence of acute myocardial infarction in subjects older than 20 years of age in the population of South Pest with 400 000 inhabitants in 1971 was 50.9/10 000 in men and 23.7/10 000 in women. The mortality rate of myocardial infarction during the first year was 56.2% in men and 60.7% in women. Two-third of the first-year death occurred in the first 24 hours and 85% of it in the prehospital period. Only 6% of the patients with acute myocardial infarction were admitted and treated in Coronary Care Units. Based on the data of the Myocardial Infarction Community Registry, measures were introduced which decreased the 28-days mortality rate at the population level. Conclusions: Authors emphasize that in the last decades the diagnosis and treatment of myocardial infarction has substantially changed which makes it necessary to re-evaluate by epidemiologic methods the natural history, incidence and mortality of acute myocardial infarction in Hungary. Orv. Hetil., 2011, 152, 793–796.

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