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Related Concept Videos

Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

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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...
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Dysrhythmias V: Evaluating Dysrhythmias01:30

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Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
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Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

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Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Imaging Studies for Cardiovascular System III: X-Ray01:20

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The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
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Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

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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...
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Cardiac Catheterization I: Pre-Procedure Overview01:28

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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Cardiac diagnostic testing: what bedside nurses need to know.

Lupe M Ramos1

  • 1Lupe Ramos is a nurse practitioner in cardiac services at St Joseph Hospital in Orange, California. lupe38@msn.com.

Critical Care Nurse
|June 3, 2014
PubMed
Summary

Nurses need to understand noninvasive cardiac diagnostic tests for coronary artery disease (CAD). This overview covers various tests, their appropriate use, and nursing considerations for diagnosing CAD.

Area of Science:

  • Cardiology
  • Diagnostic Imaging
  • Nursing

Background:

  • Coronary artery disease (CAD) is a leading cause of death in the US, affecting over 385,000 individuals annually.
  • The availability of noninvasive cardiac diagnostic tests has significantly increased.
  • Nurses require up-to-date knowledge of these diagnostic tools.

Observation:

  • Common noninvasive tests for diagnosing coronary heart disease include transthoracic echocardiography, stress testing (exercise, pharmacological, nuclear), multidetector computed tomography, coronary artery calcium scoring, and cardiac magnetic resonance imaging.
  • Each diagnostic method has specific indications, advantages, and limitations.
  • Nursing considerations are crucial for patient care during these diagnostic procedures.

Findings:

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  • This review details available noninvasive methods for assessing coronary artery disease.
  • It identifies optimal patient populations for each test.
  • Advantages, limitations, and nursing considerations are discussed for each modality.

    • Implications:

    • Enhanced understanding of noninvasive cardiac diagnostics can improve patient selection and care.
    • Knowledge of these tests is vital for nurses managing patients with or at risk for coronary artery disease.
    • Accurate and timely diagnosis through appropriate testing can lead to better patient outcomes.