Dilated cardiomyopathy with refractory heart failure in 1 case combined nursing experience.docVIP

 PAGE \* MERGEFORMAT 11 Dilated cardiomyopathy with refractory heart failure in 1 case combined nursing experience [Keywords:] Myocardial disease; refractory heart failure; care Dilated cardiomyopathy is a major feature for the expansion of one or both chambers of the heart, myocardial systolic dysfunction, resulting in heart failure. Often accompanied by arrhythmia, an extremely high mortality diseases. It is so far unknown etiology , in addition to a family of genetic factors, the medical profession that may be more persistent virus infection of the direct myocardial injury, causing autoimmunity, including cells, antibodies or cytokines involved in mediating myocardial injury induced by myocardial remodeling that is also [1], myocardial injury, genome expression, molecular, cellular and interstitial changes of the heart caused by clinical size, shape and functional changes caused by dilated cardiomyopathy. patients early in the heart may often be only a slight increase without obvious clinical symptoms. With the injury sustained increase, the patient may appear short of breath, difficulty breathing, increasing after the event and even orthopnea, hepatomegaly, edema and other symptoms and signs. most of the patients often appear a variety of arrhythmias, some patients may even In 2009 sudden embolism and sudden death in our hospital from May 1 combined dilated cardiomyopathy patients with refractory heart failure after a more than a month of treatment and care, symptoms were relieved, now nursing our report is as follows. 1 Clinical data Patients, male, 61 years old, because of “repeated chest tightness, shortness of breath more than 10 years, adding to three days,” admitted. Diagnosis of aortic replacement surgery, dilated cardiomyopathy, chronic heart failure, cardiac function grade , ventricular synchronous pacemaker after 6 years. tightness in patients with repeated more than 10 years after the event, 3 days before admission because of chest ti