Nursing care of a super elderly patient with arrhythmia after transcatheter aortic valve replacement

doi:10.3761/j.issn.0254-1769.2024.21.013

Abstract

Abstract:

To summarize the nursing experience of postoperative arrhythmia after transcatheter aortic valve replacement in an elderly patient with severe aortic stenosis. The key points of nursing include：implementing nurse led triple pre-rehabilitation，goal oriented hemodynamic monitoring and volume management，prevention and management of postoperative complications，psychological adaptation adjustment under the guidance of dual heart medicine，early and gradual rehabilitation training，and follow-up specialist guidance for extended care in the hospital. The patient was discharged from hospital with both stable physical and psychological condition after careful treatment and nursing care by the team in 12 days after operation.

Key words: Transcatheter Aortic Valve Replacement, Arrhythmia, Elderly, Nursing Care

摘要：

总结1例主动脉瓣重度狭窄的超高龄患者行经导管主动脉瓣置换术后合并心律失常的护理经验。护理要点：实施护士主导的三联预康复、目标导向性血流动力学监测及容量管理、术后并发症的预防及处理、双心医学指导下的心理适应力调整、早期循序渐进康复训练、随访专员指导院外延续性护理。经过团队的精心治疗与护理，术后12 d患者病情稳定后出院。

关键词: 经导管主动脉瓣置换术, 心律失常, 高龄, 护理

MAO Yue, HE Jie, ZHAN Yang, CHEN Jingjing, ZHU Beibei. Nursing care of a super elderly patient with arrhythmia after transcatheter aortic valve replacement[J]. Chinese Journal of Nursing, 2024, 59(21): 2649-2652.

毛越, 何杰, 湛扬, 陈晶晶, 朱蓓蓓. 1例超高龄患者行经导管主动脉瓣置换术后合并心律失常的护理[J]. 中华护理杂志, 2024, 59(21): 2649-2652.

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