关键词: 急性心肌梗死, 主动脉内球囊反搏, 经皮冠状动脉介入治疗, 电风暴, 护理

Abstract:

This report summarizes the nursing experience of a patient with acute myocardial infarction complicated by cardiogenic shock and frequent electrical storms. The key nursing interventions are outlined as follows. Formation of a multidisciplinary management team：a collaborative treatment plan was developed by assembling a multidisciplinary team of healthcare professionals. Activation of the hospital emergency response system：the hospital’s emergency response protocols were promptly activated to ensure efficient emergency nursing care. Dynamic hemodynamic monitoring：circulatory support strategy guided by hemodynamic monitoring. Establish-ment of a malignant arrhythmia warning system：a warning system for malignant arrhythmias was implemented to standardize the emergency procedures for electrical cardioversion and defibrillation，thereby maximizing the time available for life support. Sequential antiplatelet and anticoagulation management：a sequential approach to antiplatelet and anticoagulation therapy was employed to effectively prevent the risks of thrombosis and bleeding. Focus on psychological care and rehabilitation training：emphasis was placed on psychological support and rehabilitation exercises to enhance the patient’s comfort and exercise tolerance. The patient was hospitalized for 33 days and was discharged in improved condition. This translation is structured to reflect the conventions of academic writing，making it suitable for inclusion in a clinical report or research paper.

Key words: Acute Myocardial Infarction, Intra-Aortic Balloon Pump, Percutaneous Coronary Intervention, Electrical Storm, Nursing Care