Nursing care of Takotsubo syndrome in an elderly patient after mitral valve replacement surgery:a case study
10.3761/j.issn.0254-1769.2025.17.015
- VernacularTitle:1例老年患者行二尖瓣置换术后并发Takotsubo综合征的护理
- Author:
Xiaolin GU
1
;
Chongjian ZHANG
;
Liruo ZENG
;
Jie LI
;
Yuqin CHEN
Author Information
1. 510080 广州市 南方医科大学附属广东省人民医院(广东省医学科学院)心外重症监护二科
- Publication Type:Journal Article
- Keywords:
Mitral Valve Replacement;
Aged;
Takotsubo Syndrome;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(17):2141-2144
- CountryChina
- Language:Chinese
-
Abstract:
This study summarizes the nursing experience of an elderly patient who developed Takotsubo syndrome following mitral valve replacement surgery.Key nursing points include:close monitoring of electrocardiogram and myocardial enzyme spectrum changes for early identification of Takotsubo syndrome;implementation of a multi-dimensional collaborative circulatory support strategy;establishment of a triadic psychological intervention model comprising"environment-communication-family support"to prevent the exacerbation of Takotsubo syndrome based on stressor management;application of multimodal early rehabilitation interventions to shorten mechanical ventilation duration.After meticulous treatment and care,the left ventricular ejection fraction(LVEF)of the patient improved to 46％on postoperative day 12.There were no occurrences of malignant arrhythmias or multiple organ dysfunction.On postoperative day 16,the patient was transferred to a general ward for continued specialized treatment,and on postoperative day 22,the patient was successfully discharged after rehabilitation.
