Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary a...Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.展开更多
Objectives To evaluate the safety and efficacy of transradial coronary procedures (TRCP). Methods The data of 83 cases who accepted transradial coronary angiography (CAG) and transradial percutaneous coronary inte...Objectives To evaluate the safety and efficacy of transradial coronary procedures (TRCP). Methods The data of 83 cases who accepted transradial coronary angiography (CAG) and transradial percutaneous coronary intervention (PCI) in our department were summarized. The success rates, proximal coronary complications, peripheral vascular complications, severe vagal reflex, mean operation time (MOT), mean recumbent time (MRT), mean hospital-staying time (MHT) were analyzed. The data were compared with that of 420 cases of transfemoral coronary procedures (TFCP) in the same period. Results Success rates and proximal coronary complications were similar in both groups. Severe vagal reflexes were less in TRCP group than in TFCP group. MOT was longer in TRCP group. MRT and MHT were shorter in TRCP group. 12(14.5%) radial artery spasm, 3(3.6%) radial artery obstruction, 1 sudden respiratory arrest caused by jugular hematoma were observed in TRCP group. Conclusions The efficacy and safety of TRCP are definite. TRCP is more economical. For the purpose of properly evaluate the peripheral vascular complications of TRCP, it is necessary to pay special attention to radial artery occlusion, radial artery stenosis, and jugular hematoma.展开更多
Objective To study the clinical significance of exercise-induced ST-segment elevation(STE)in patients without previous myocardial infarction(MI). Methods Ten patients without previous MI who developed STE during exerc...Objective To study the clinical significance of exercise-induced ST-segment elevation(STE)in patients without previous myocardial infarction(MI). Methods Ten patients without previous MI who developed STE during exercise testing were underwent coronary angiography, left ventriculography and rest electrocardiography, and Bruce protocol were used during exercise test. Results The incidence of exercise induced STE in patients without previous MI was 0.28%(10/3564). One of the 10 patients had only a mild coronary lesion (stenosis < 35%in diameter) in left anterior descending artery, but she developed an acute myocardial infarction 4 weeks after coronary angiography,and the leads of myocardial infarction and the leads of exercise induced STE elevation were same, the others all had severe coronary stenosis(90%~100%). There was a good correlation between leads of ST segment elevation and ischemic related artery. Nine patients received invasive therapy. During a period of 28 months (range 8 to 48 months) of follow up, 2 of them received PTCA again at 11 and 19 months after their discharge, prospectively. Conclusions The findings indicats ST elevation during exercise is a specific marker of severe transmural regional ischemia and should be an indication for coronary angiography. Most patients with exercise induced ST segment elevation have critical organic stenosis of the ischemic-related coronary artery and are candidates for myocardial revascularization. In a few patients, ST segment elevation during exercise may be caused by coronary artery spasm in the absence of significant organic lesions, and they may have a poor prognosis.展开更多
文摘Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.
文摘Objectives To evaluate the safety and efficacy of transradial coronary procedures (TRCP). Methods The data of 83 cases who accepted transradial coronary angiography (CAG) and transradial percutaneous coronary intervention (PCI) in our department were summarized. The success rates, proximal coronary complications, peripheral vascular complications, severe vagal reflex, mean operation time (MOT), mean recumbent time (MRT), mean hospital-staying time (MHT) were analyzed. The data were compared with that of 420 cases of transfemoral coronary procedures (TFCP) in the same period. Results Success rates and proximal coronary complications were similar in both groups. Severe vagal reflexes were less in TRCP group than in TFCP group. MOT was longer in TRCP group. MRT and MHT were shorter in TRCP group. 12(14.5%) radial artery spasm, 3(3.6%) radial artery obstruction, 1 sudden respiratory arrest caused by jugular hematoma were observed in TRCP group. Conclusions The efficacy and safety of TRCP are definite. TRCP is more economical. For the purpose of properly evaluate the peripheral vascular complications of TRCP, it is necessary to pay special attention to radial artery occlusion, radial artery stenosis, and jugular hematoma.
文摘Objective To study the clinical significance of exercise-induced ST-segment elevation(STE)in patients without previous myocardial infarction(MI). Methods Ten patients without previous MI who developed STE during exercise testing were underwent coronary angiography, left ventriculography and rest electrocardiography, and Bruce protocol were used during exercise test. Results The incidence of exercise induced STE in patients without previous MI was 0.28%(10/3564). One of the 10 patients had only a mild coronary lesion (stenosis < 35%in diameter) in left anterior descending artery, but she developed an acute myocardial infarction 4 weeks after coronary angiography,and the leads of myocardial infarction and the leads of exercise induced STE elevation were same, the others all had severe coronary stenosis(90%~100%). There was a good correlation between leads of ST segment elevation and ischemic related artery. Nine patients received invasive therapy. During a period of 28 months (range 8 to 48 months) of follow up, 2 of them received PTCA again at 11 and 19 months after their discharge, prospectively. Conclusions The findings indicats ST elevation during exercise is a specific marker of severe transmural regional ischemia and should be an indication for coronary angiography. Most patients with exercise induced ST segment elevation have critical organic stenosis of the ischemic-related coronary artery and are candidates for myocardial revascularization. In a few patients, ST segment elevation during exercise may be caused by coronary artery spasm in the absence of significant organic lesions, and they may have a poor prognosis.