Coronary intervention induced hypotension care.docVIP

 PAGE \* MERGEFORMAT 7 Coronary intervention induced hypotension care [Keywords:] coronary artery; intervention; hypotension; Care Coronary interventional procedures is one of the main treatment of coronary heart disease. As a means of diagnosis and treatment of invasive, there are some surgical risks can seriously endanger the lives of patients. Intraoperative hypotension prompted changes in condition, if not timely detection and treatment will lead to serious consequences. I Retrospective analysis of our department in January 1999 ~ December 2008 involved 30 patients during the treatment of cardiovascular causes hypotension, and summed up nursing. 1 Clinical data Cases of coronary interventional procedures 569 cases, 30 cases of intraoperative hypotension, including 21 males and 9 females, aged from 45 to 82 years, 6 cases occurred in the injection of contrast agent, 15 cases occurred in the balloon expands, 9 cases occurred in patients with stent implantation .30 positive symptomatic after treatment, all the heart rate, blood pressure returned to normal, stable vital signs, surgery successfully completed, no other complications occurred. Two factors related to intraoperative hypotension Hypotension with the following factors: hypovolemia: Preoperative fasting for too long, excessive sweating surgery and had not replenish fluids and hypotension caused by hypovolemia, 6 cases in this group as the result of cases of hypotension. surgical procedures: Some patients, especially those with multivessel disease, in contrast can occur when non-related artery had transient hypotension, 11 cases occurred in this group. When the tube is inserted too deep or open a coronary artery disease who, when injection of contrast agents can cause a transient drop in blood pressure occurred in 8 cases in this group. reperfusion: open infarct-related artery can occur when the blood pressure lowering, common causes of serious arrhythmias such as ventricular tachyc