Heart Disease : Gender differences

Gender differences Men Men experience systolic failure more frequently than women. Men with asymptomatic systolic failure experience greater mortality benefit from ACE inhibitor therapy than women. Women Women experience diastolic failure more frequently than men. Women have a higher risk of ACE inhibitor–related cough than men. Women experience more digitalis-related death than men. Women with Read More

Heart Failure

Heart Failure Complex clinical syndrome resulting in insufficient blood supply/oxygen to tissues and organs Involves diastolic or systolic dysfunction Ejection fraction (EF) is amount of blood pumped by LV with each heart beat Associated with CVDs Increase in incidence and prevalence Most common cause for hospital admission in adults over age 65 Risk factors Primary Read More

Role of Nursing Personnel

Role of Nursing Personnel Registered Nurse (RN) Pre-procedure Assess for allergies, especially to contrast dye. Perform baseline assessment, including vital signs, pulse oximetry, heart and breath sounds, neurovascular assessment of extremities (e.g., distal pulses, skin temperature, skin color, sensation). Assess baseline laboratory values (e.g., cardiac biomarkers, creatinine). Teach patient and caregiver about procedure and post-procedure Read More

Sudden cardiac death

Sudden cardiac death Nursing/Interprofessional care Diagnostic workup to rule out or confirm MI Cardiac biomarkers ECGs Treat accordingly Cardiac catheterization PCI or CABG 24-hour Holter monitoring Exercise stress testing Signal-averaged ECG Electrophysiologic study (EPS) Implantable cardioverter-defibrillator (ICD) Antidysrhythmic drugs LifeVest