Related Experiment Video
Updated: May 5, 2026
09:12
Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
Published on: March 27, 2018
9.0K
What do patients think about while waiting for myocardial revascularization?
Kelminda Maria Bulhões Mendonça1, Tarcísio Matos de Andrade
1From the *Professor Edgard Santos Teaching Hospital and †Department of Family Health, School of Medicine, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil.
Critical Pathways in Cardiology
|November 19, 2013
Summary
Patients awaiting myocardial revascularization benefit from discussing their feelings and fears with medical teams. Open communication helps manage emotions and anxiety before cardiac surgery.
Area of Science:
- Cardiology
- Psychological Medicine
- Qualitative Health Research
Background:
- Coronary artery disease presents a significant public health challenge with high mortality.
- Patients undergoing myocardial revascularization face substantial emotional and existential challenges.
Purpose of the Study:
- To evaluate patient emotions and perceptions before myocardial revascularization.
- To explore doctor-patient interactions and existential concerns in cardiac surgery patients.
Main Methods:
- Qualitative, exploratory study conducted in a Brazilian university teaching hospital.
- In-depth interviews with 12 patients awaiting myocardial revascularization until data saturation.
Main Results:
- Patients employ various emotional regulation strategies before surgery.
- Discussing heart conditions with healthcare providers reduced patient fear and anxiety.
Conclusions:
- Medical teams should offer greater emotional support to patients awaiting myocardial revascularization.
- Assisting patients in managing perceptions and planning life is crucial during the pre-operative period.
More Related Videos
Related Concept Videos
01:28Acute Coronary Syndrome IV: Interprofessional Care
525
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
525
01:26Cardiac Catheterization IV: Nursing Management
1.2K
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
1.2K
01:20Angina V: Nursing Management
567
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
567
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
461
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
461
01:27Coronary Artery Disease V: Interprofessional Care
450
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
450
01:30Acute Coronary Syndrome III: Diagnostic Studies
500
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
500