皮下植入式心脏转换器-除器:一个患者的观点
Martina Nesti1, Vincenzo Russo2, Zefferino Palamà3
1Fondazione Toscana Gabriele Monasterio, 56124 Pisa, Italy.
Journal of clinical medicine
|October 28, 2023
概括
皮下植入式心脏转换器-除器 (S-ICD) 为患者提供了以患者为中心的传统ICD的替代方案,有可能减少焦虑并改善生活质量. 这项新技术对符合条件的患者的身体形象和社会参与产生了积极的影响.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 以患者为中心的护理
背景情况:
- 静脉输入性ICD (TV-ICD) 与患者的焦虑,抑郁和生物心理社会挑战有关,包括身体形象问题和活动限制.
- 审美问题和对冲击的恐惧显著影响患者的幸福感,特别是在年轻女性中.
研究的目的:
- 探讨患者对皮下植入式心脏转换器-除器 (S-ICD) 作为电视-ICDs的替代品的看法.
- 评估S-ICD对患者心理健康,身体形象和生活方式的潜在好处.
主要方法:
- 用S-ICD技术对患者报告的结果和经验的定性评估.
- 与患者心理社会因素相关的S-ICD与TV-ICD的比较分析.
主要成果:
- 由于痕尺寸较小和最佳定位,S-ICD放置可能会改善身体形象和社会关系.
- 通过尽量减少活动限制,S-ICD可以减少与导管相关的并发症,并改善职业生活.
- S-ICD为运动员提供了优势,通过防止关节下压缩伤害和减少不适当的冲击.
结论:
- 与TV-ICD相比,S-ICD为部分患者提供了一种可行的选择,可以减轻心理痛苦并改善生活质量.
- 医生可以利用S-ICD来减少设备植入对患者福祉的负面影响,从而可能提高治疗坚持.
- 存在局限性,因为S-ICD不适合需要节拍,CRT或ATP的患者.
相关概念视频
Cardiomyopathy V: Interprofessional Care
14
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...
14
Cardiac Catheterization IV: Nursing Management
31
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...
31
Cardiopulmonary Resuscitation III: AED Use
34
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
34
Cardiac Catheterization I: Pre-Procedure Overview
30
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...
30
Cardiomyopathy VII: Pre and Post Operative Nursing Management
15
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...
15
Peripheral Artery Disease IV: Nursing Management
11
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
11


