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Showing 6 results for Complications
Sedigheh Fayazi, Mohammad-Hashem Abdi, Neda Sayadi, Shahnaz Rostami,
Volume 1, Issue 4 (3-2013)
Abstract
Abstract Aim. The aim of this study was to evaluate complications of intravenous Streptokinase therapy in acute myocardial infarction patients admitted to the cardiac intensive care unit. Background. Myocardial infarction is a common disease and the use of thrombolytic agents such as Streptokinase reduces its mortality, but there are some complications associated with streptokinase. Method. In this descriptive stud y 120, patients treated with streptokinase were evaluated in terms of complications of the drug. A checklist of Streptokinase complications was used to collect the data. The findings were presented in the form of descriptive and inferential statistics. Findings. According to the finding s, %33.3 of patients had cardiovascular complications, %23.9 developed allergic symptoms, and %17.5 suffered blood complications. Conclusion. The incidence of cardiac complications was the highest among patients. It is recommended to train nurses to avoid possible complications.
Somayeh Akhavan, Payam Abbasi,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. The aim of this study was to review studies about advantages and disadvantages of transradial and transfemoral coronary angiography. Transradial coronary angiography procedure is newer than transfemoral approach and inadequate knowledge and experience in this area needs to be considered for minimizing possible complications. Background. An increasing trend of cardiovascular diseases is of great importance. Although any different methods have been suggested for diagnosing coronary artery diseases, but coronary angiography remains as the best diagnostic and therapeutic method. Transradial and transfemoral coronary angiography as two approaches for diagnosing coronary artery diaseses have their own advantages and disadvantages. Method. In this review study, various databases such as Google Scholar, PubMed, AHA journal and Elsevier were searched out by Persian and English forms of the keywords “Transradial coronary angiography”, “Transfemoral coronary angiography”, “Nursing care in coronary angiography” and “complications of coronary angiography”. Findings. The findings are presented as follows: Comparison of the advantages and disadvantages of both radial and femoral approach, nursing care in radial angiography procedures and comparing patients’ satisfaction of experiencing radial or femoral angiography. Conclusion. If the preparation and care before, during and after coronary angiography is properly settled and there is trained staff and physicians, it is suggested to use transradial approach for coronary angiography because of its fewer side effects and greater convenience the patients have with.
Rasul Azarfarin, Mohammadziae Totonchi, Masoomeh Rostami, Hooman Bakhshandeh, Fatemeh Servati, Fatemeh Kooshki,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. The purpose of this study was to compare the effect of clinically-indicated replacement and routine replacement of peripheral venous catheters on catheter-related complications and satisfaction in patients undergoing cardiac surgery.
Background. The insertion of peripheral vein catheter is one of the most commonly used minimally invasive measures in hospitalized patients. Catheters can be maintained until they are working well.
Methods. A randomized controlled clinical trial was conducted in intensive care units of Rajaie Cardiovascular Medical and Research Center in 2017. After ethical Approval, 104 Patients were randomly allocated to either clinically-indicated replacement or routine replacement of peripheral venous catheters (every 96 hours) (52 Patients in each group). Data collection tools included demographic form, catheter placement data sheet and a researcher-made patients’ satisfaction questionnaire. Data were analyzed in SPSS using descriptive and inferential statistics.
Findings. There were no statistically significant difference in terms of the incidence of complications between the groups. Also, there were no statistically significant difference between the scores of satisfaction of the patients of the control and experimental group.
Conclusion. No evidence was found of superiority of routine replacement of peripheral venous catheters over clinically-indicated replacement. Caregivers may consider changing the protocol of catheter replacement from routine replacement to clinically-indicated replacement. This would protects patients from the unnecessary pain of routine replacement in the absence of clinical indications.
Farzane Sedighi, Maasoumeh Barkhordari Sharifabad, Khadijeh Nasiriani, Hossein Fallahzadeh,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of bed angle on back pain, urinary retention and vascular complications after coronary angiography.
Background. To minimize the severity of low back pain and urine retention after angiography, modalities such as changing position, changing bed angle, and early out of bed have been used, but there is still controversy about the appropriate bed angle that reduces cardiovascular complications and at the same time provides patient comfort.
Method. This study was a randomized clinical trial conducted on 120 patients after angiography in cardiology and angiography wards of Shahid Sadoughi Hospital, Yazd, Iran, in 2018. A total of 120 patients who were candidates for angiography were randomly divided into control and experimental group. After angiography, for the control group, the bed angle was zero, and for the experimental group, the bed angle was set at 30 degrees, from entry to the ward for 4 hours. Data collection tools included demographic and clinical information questionnaire, numerical scale for measuring severity of pain, hematoma and hemorrhage recording form and urinary retention observation and recording form. Data analysis was performed in SPSS Version 20 using descriptive and inferential statistics.
Findings. The mean score of back pain in the experimental group, immediately and four hours after angiography was 0.166±0.767 and 0.216±55.0, respectively, which was lower than that of control group (0.233±0.615 and 0.433±0.927, respectively), but the difference was not statistically significant. Also, there was no statistically significant difference between groups in terms of urinary retention, immediately and 2 hours after angiography. There was no statistically significant difference between groups in terms of vascular complications (hematoma and hemorrhage).
Conclusion. The results of this study did not show any evidence that 30 degrees bed angle adjustment have any different effect on pain severity, urinary retention, and vascular complications of the zero degree bed angle. It is recommended that after angiography, the angle of the bed be set to zero or 30 degrees according to the patient's comfort and preference.
Mehdi Ghanbari, Mohammad Iraj Bagheri Saveh, Daem Roshani, Kamal Salehi,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was conducted to examine the effect of self-management program on major advers cardiac complications of coronary angioplasty in patients referred to Tohid Hospital in Sanandaj, Iran, in 2018.
Background. Coronary artery disease is the leading cause of death in people over 35 years of age in Iran. Coronary angioplasty is one of the most successful treatment techniques in people with coronary artery disease with some unwanted cardiac complications. Reducing these complications is one of the important goals of health care systems.
Method. This was a quasi-experimental study that was conducted on 101 people with coronary artery disease undergoing angioplasty. The samples were selected by convenience sampling method based on inclusion criteria, and then randomly assigned to the experimental (n=51) and control (n=50) group. Data collection tools included a demographic information questionnaire and a checklist of coronary angioplasty complications. The intervention was implemented in sessions of 45 to 60 minutes duration three times per week in the presence of a family member and a copy was handed in. This intervention was continued for six months in the experimental group. During intervention period, the patient’s condition and the implementation of the self-management program were followed up by phone. The control group received only routine care and the experimental group received both routine care and self-management program. Cardiac complications were assessed in the first, third and sixth months following intervention. Data were analyzed in SPSS version 21 using Chi-square, t-test and generalized estimation equations.
Findings. The groups were homogenous in terms of age, gender, marital status, level of education, place of residence, employment status, body mass index, number of children, history of hyperlipidemia, history of diabetes, history of hypertension, history of alcohol consumption, history of heart attack, and type of artery involved. Generalized estimation equations showed that after intervention, the rate of complications of target vessel revascularization (P=0.04), second coronary angioplasty, (P=0.005) and coronary artery bypass graft surgery (P=0.003) were significantly different between the control and experimental groups. However, there were no statistically significant difference between groups in terms of recurrent angina complications (P=0.066), myocardial infarction (P=0.069) and death (P=0.019).
Conclusion. The implementation of self-management program can reduce complications after coronary artery angioplasty. It is recommended for nurses to apply self-management programs and follow-up after discharge for this group of patients.
Hamidreza Ghazizadeh, Masoumeh Zakerimoghadam,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to review the cardiovascular disorders and complications caused by COVID-19.
Background. Coronavirus (COVID-19) disease is a viral disease caused by the SARS-CoV-2 virus. The virus was first discovered in Wuhan, China, and was declared a global pandemic due to its widespread prevalence. So far, about 500 million cases of and 6 million deaths from the disease have been reported worldwide. SARS-CoV-2 mainly causes respiratory problems, and fever, cough, shortness of breath, myalgia, fatigue and diarrhea are common symptoms of the disease. COVID-19 also causes cardiovascular disorders, which due to the importance of the impact of these disorders on the health of people in the community, in this article, studies and research conducted in this field were reviewed.
Method. The keywords “Covid-19”, “Coronavirus”, and “Cardiovascular complication” were searched out in databases, Web of Science, Scopus, PubMed, and Google Scholar. Out of 84 articles that were found the more relevant ones to the research topic were selected. After reviewing the studies thoroughly, 33 papers that were in line with the purpose of the study were selected and reviewed.
Findings. Studies and findings have shown that COVID-19 can cause cardiovascular complications such as cardiac arrhythmias, acute coronary syndrome, acute myocardial injury, myocarditis and heart failure.
Conclusion. Given the prevalence of COVID-19 and its high prevalence worldwide, it is important to be familiar with the cardiovascular disorders caused by the disease and how to treat and manage these disorders.
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