Geriatric Nutritional Risk Index Score Predicts Clinical Outcome in Patients With Acute ST-Segment Elevation

Yu Jia1, Yongli Gao, Dongze Li

  • 1Yu Jia, MBBS Doctor, Department of Emergency Medicine and Researcher, Laboratory of Emergency Medicine, Staff, West China School of Nursing, West China Hospital, and Disaster Medical Center, Sichuan University, Chengdu, China. Yongli Gao, BSc Nurse, Department of Emergency Medicine and Researcher, Laboratory of Emergency Medicine, Teacher, West China School of Nursing, West China Hospital, and Committee Member, Disaster Medical Center, Sichuan University, Chengdu, China. Dongze Li, MBBS Doctor, Department of Emergency Medicine and Researcher, Laboratory of Emergency Medicine, Staff, West China School of Nursing, West China Hospital, and Disaster Medical Center, Sichuan University, Chengdu, China. Yu Cao, MD Doctor, Department of Emergency Medicine and Researcher, Laboratory of Emergency Medicine, West China Hospital, and Committee Member Disaster Medical Center, Sichuan University, Chengdu, China. Yisong Cheng, MBBS Doctor, Department of Cardiology and Intensive Care Unit, West China Hospital, Sichuan University, Chengdu, China. Fanghui Li, MBBS Doctor, Department of Cardiology, and Staff at West China School of Nursing, West China Hospital, Sichuan University, Chengdu, China. Lei Xiao, MBBS Doctor, Department of Cardiology, West China Hospital, Sichuan University; and Department of Cardiology, Chengdu BOE Hospital, Chengdu, China. Ying Jiang, MBBS Doctor, Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China. Zhi Wan, MD Doctor, Department of Emergency Medicine and Researcher, Laboratory of Emergency Medicine, West China Hospital, and Committee Member Disaster Medical Center, Sichuan University, Chengdu, China. Zhi Zeng, MD Doctor, Department of Emergency Medicine and Researcher, Laboratory of Emergency Medicine, West China Hospital, and Committee Member, Disaster Medical Center, Sichuan University, Chengdu, China. Rui Zeng, MD Doctor, Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.

Abstract

Related Concept Videos

Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

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...
145
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
293
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion

In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
185
Myocarditis IV: Nursing Management01:22

Myocarditis IV: Nursing Management

Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
158
Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
149
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

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...
166