Risk factors and nursing of electrical storm in percutaneous coronary intervention
10.3760/cma.j.issn.1674-2907.2011.36.014
- VernacularTitle:直接冠状动脉介入治疗发生电风暴的危险因素及护理
- Author:
Xiao-Tong LI
1
;
Yong-Bo MA
;
Ri-Xin XU
;
Bing XU
Author Information
1. 扬州大学临床医学院
- Keywords:
Myocardial infarction;
Percutaneous coronary intervention;
Electrical storm;
Risk factors;
Nursing
- From:
Chinese Journal of Modern Nursing
2011;17(36):4446-4448
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors for occurrence of electrical storm in the patients with acute ST segment elevation myocardial infarction (STEMI) when giving treatment of percutaneous coronary intervention (PCI) and to provide evidence for prospective nursing.Methods Collected the clinical data of 114 patients with STEMI and treated by PCI from January 2008 to December 2010,patients with no less than twice spontaneous ventricular tachycardia (VT) or ventricular fibrillation (VF) were classified to the electrical storm group and others were classified to control group.Results The number of patients with electrical storm is nine and the incidence rate is 7.9％.The electrical storm group:The value of creatine kinase isoenzyme MB (CK-MB) in the electrical storm group was higher than in control group,( 105.8 ± 16.3 ) U/L vs (90.4 ± 17.5) U/L,there was statistically significant difference(t =2.545,P ＜0.05).The value of troponin I (TNI),right coronary artery being the infarction related artery (IRA),T1MI 0 level blood flow,bradycardia and sustained hypotension in the electrical group are significantly higher than those of control group (P ＜ 0.05 ).Conclusions The value of creatine kinase i soenzyme M B (CK-MB),the value of troponin I (TNI),right coronary artery being the infarction related artery ( IRA),no blood flow,bradycardia and sustained hypotension are the risk factors for occurrence of electrical storm which should be paid more attention in the process of nursing.The nursing should cooperate with clinical treatment to improve the prognosis.
