20 patients with acute myocardial infarction in patients with bradyarrhythmia temporary pacemaker implantation Nursing.docVIP

 PAGE \* MERGEFORMAT 14 20 patients with acute myocardial infarction in patients with bradyarrhythmia temporary pacemaker implantation Nursing [Keywords:] slow arrhythmias in acute myocardial infarction care and temporary pacemaker implantation Acute myocardial infarction, a higher incidence of various arrhythmias, including the incidence of arrhythmias about 40% to 60% [1], particularly in the right ventricle and inferior wall myocardial infarction heart when you have sinus slow, sinus standstill, sinoatrial block, complete atrioventricular block is more common. acute myocardial infarction mortality in patients with arrhythmias in acute myocardial infarction in general 4 times timely and appropriate manner from the artificial heart pump implantation is the most effective and reliable method. now from May 2008 to May 2009 were treated in our department because of acute myocardial infarction undergoing emergency PCI, and temporary pacemaker implantation in the care of 20 patients analysis of the work to a certain extent on the nursing inspiration. 1 Clinical data 1.1 General Information May 2008 to May 2009 were treated in our department due to acute myocardial infarction undergoing emergency PCI, and temporary pacemaker implantation in 20 patients, 11 patients were male, 9 females, age range 36 to 64 years, mean age 52 years .20 patients with acute right ventricular infarction alone, 1 case in combination with other wall of right ventricular infarction in 19 patients with syncope .3 cases the first symptom, 12 cases of hypotension, shock in 4 cases. All patients were diagnosed by the 18 guide check ECG, myocardial enzymes, cardiac troponin and selective coronary angiography. 1.2 Procedures Choose the right femoral vein pathway, conventional disinfection shop towels sterile-dong, located in the right femoral artery fluctuations within 1.0 cm at the strongest point, local anesthesia after successful puncture, 6 F venous sheath insertion, temp