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Related Concept Videos

Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

47
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
47
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

60
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
60
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

30
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
30
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

147
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
147
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

40
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
40
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

30
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...
30

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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
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Palliative Performance Scale predicts mortality in cardiac intensive care unit.

Laura Sofia Cardelli1,2, Lorenzo Gamberini3, Beatrice Dal Passo4

  • 1Cardiology Department, Ospedale Maggiore Carlo Alberto Pizzardi, Bologna, Emilia-Romagna, Italy cardellilaura.med@gmail.com.

Open Heart
|June 27, 2025
PubMed
Summary

The Palliative Performance Scale (PPS) effectively predicts mortality in cardiac intensive care unit (CICU) patients. A lower PPS score (≤70) indicates a significantly higher risk of both in-hospital and 1-year mortality.

Keywords:
Delivery of Health CareEpidemiologyEthics, MedicalOutcome Assessment, Health CarePalliative Care

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Area of Science:

  • Cardiology
  • Critical Care Medicine
  • Geriatrics

Background:

  • The growing elderly population presents challenges in managing critically ill cardiac patients with multiple comorbidities.
  • The Palliative Performance Scale (PPS), originally for cancer patients, has potential but is understudied in Cardiac Intensive Care Units (CICUs).

Purpose of the Study:

  • To evaluate the Palliative Performance Scale (PPS) as a prognostic tool for in-hospital and 1-year all-cause mortality in CICU patients.

Main Methods:

  • A prospective, observational study of 1131 CICU patients was conducted.
  • Patients were grouped by admission PPS score (≤70 vs >70).
  • Multivariable regression and survival analysis were used to assess mortality predictors and model performance.

Main Results:

  • Patients with PPS ≤70 had significantly higher in-hospital (17.7% vs 3.3%) and 1-year (37.0% vs 9.8%) mortality.
  • PPS was an independent predictor of mortality, alongside age and SOFA score.
  • Models showed good discriminatory performance (AUCs 0.841-0.862) and calibration.

Conclusions:

  • The Palliative Performance Scale (PPS) is a reliable and independent predictor of mortality in CICU patients.
  • Integrating PPS into clinical practice can improve risk stratification and guide decision-making for high-risk cardiac patients.