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Showing 3 results for Arrhythmia
Zahrasadat Hoseini, Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. This review aimed to explore the issue of cardiac arrhythmias in people with subarachnoid hemorrhage.
Background. Intracranial injuries may cause cardiac arrhythmia and structural changes. Between 25-90% of patients with subarachnoid hemorrhage experience cardiac arrhythmia. In case of inappropriate diagnosis, unnecessary workup and treatment may be done.
Method. The studies published between 2000 and 2017 were searched for in databases and search engines Google Scholar, Pumped, Science Direct, Magiran, and SID by the keywords electrocardiogram, arrhythmia, ECG abnormalities, intracranial hemorrhage, subarachnoid hemorrhage and their Persian equals.
Findings. Provoking the autoimmune system by stimulating the hypothalamus and increasing the circulating catecholamines in patients with cerebrovascular bleeding are two significant mechanisms responsible for cardiac arrhythmias and myocardial damage.
Conclusion. The timely diagnosis of electrocardiographic changes in patients with cerebral hemorrhage is one of the effective factors in determining the prognosis and deterioration of clinical status. It seems that taking the exact medical history, recording ECG at the time of patient admission, and diagnosing the cerebral hemorrhage, in particular subarachnoid hemorrhage, are necessary measures in the health care centers.
Negar Akbari Zargar, Seyyed Seyed Abbas Haghayegh, Saeed Jahanian, Sheida Jabalameli, Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to compare the effectiveness of acceptance-based therapy and emotion-based cognitive therapy on psychological well-being of patients with cardiac arrhythmia.
Background. The study of heart disease has long been noted by psychological factors because an individual with cardiac arrhythmias may suffer from mental well-being.
Method. This was a quasi-experimental study and to collect the data, a pre-test-post-test design with two experimental and one control group was used. The statistical population of the study consisted of all cardiac arrhythmia patients of Amirabad Heart Hospital in Tehran, out of which 60 people were selected by convenience sampling method and randomly divided into two experimental groups (20 people in each group) and one control group (20). The tools used in the present study included mental well-being (Reef, 1995), which were used in two stages of pre-test and post-test.
Findings. According to the findings, the mean score of psychological well-being in both experimental groups (acceptance-based therapy and emotion-based cognitive therapy) increased in the post-test stage compared to the pre-test, and these interventions increased the score of psychological well-being components in patients with heart arrhythmia compared to control group.
Conclusion. Clinicians can use these interventions (acceptance-based therapy and emotion-based cognitive therapy) in patients with cardiac arrhythmias to promote psychological well-being and recovery.
Yaser Saeid, Abbas Ebadi, Hosein Mohammadi Roshan, Seyed Mohammad Saeid Ghiasi, Mohamad Hasan Kalantar, Seyed Tayeb Moradian, Volume 13, Issue 1 (3-2024)
Abstract
Abstract
Aim. The present study was conducted with the aim of investigating the incidence of complications after cardiac surgery in the period from the patient's admission to the ward to three days thereafter at Jamaran Heart Hospital in 2022-2023.
Background. Regarding the selected and proposed treatments for cardiovascular diseases, every year a large number of patients undergo heart and coronary artery bypass graft surgery and valve repair or replacement. According to the surgical procedure, there are many cardiac and non-cardiac complications for these patients.
Method. The present study was a cross-sectional descriptive study that was conducted between 2022 and 2023 in Jamaran Heart Hospital in Tehran, Iran. In this study, 254 patients who were candidates for heart surgery were recruited using convenience sampling method. Data were collected using demographic characteristics form, checklist for short-term complications after open heart surgery, and numerical pain scale. The time period of data collection was from the moment the patient entered the intensive care unit to the time of transfer to the ward (three days). The data were analyzed in SPSS version 22 using descriptive statistics.
Findings. Most of patients underwent valve surgery or combined valve and coronary artery graft surgery (68.1 percent). Most of patients were male (62.3 percent), and had a history of high blood pressure (60.5 percent). The mean of age and ejection fraction at discharge was 60.4 years and 48.4 percent, respectively. On the third day after surgery, the incidence of complications was as follows: atelectasis, 18.9 percent; pleural effusion, 15 percent; and pneumothorax, 2.8 percent. The highest average pain score was 3.74 when using incentive spirometry and 4.54 when coughing. Regarding arrhythmia, the highest rate was related to sinus tachycardia (12.6 percent) and atrial fibrillation (9.6 percent).
Conclusion. Goal-directed planning is necessary to manage complications after open heart surgery. Conducting more studies with the aim of investigating etiology and appropriate management of risk factors is also suggested.
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