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Ischemic Cardiomyopathy Otterbein University Digital Commons @ Otterbein Nursing Student Class Projects (Formerly MSN) Student Research & Creative Work Summer 8-3-2017 Ischemic Cardiomyopathy Sarah Crawmer Otterbein University, [email protected] Follow this and additional works at: https://digitalcommons.otterbein.edu/stu_msn Part of the Nursing Commons Recommended Citation Crawmer, Sarah, "Ischemic Cardiomyopathy" (2017). Nursing Student Class Projects (Formerly MSN). 237. https://digitalcommons.otterbein.edu/stu_msn/237 This Project is brought to you for free and open access by the Student Research & Creative Work at Digital Commons @ Otterbein. It has been accepted for inclusion in Nursing Student Class Projects (Formerly MSN) by an authorized administrator of Digital Commons @ Otterbein. For more information, please contact [email protected]. Ischemic Cardiomyopathy Sarah A. Crawmer RN, BSN Otterbein University, Westerville, Ohio Conclusion Signs & Symptoms Presentation of Implications for Underlying Pathophysiology Ischemic cardiomyopathy is when the heart’s ability to pump blood is Introduction Process Nursing Care According to Aksut MD, B. & Bott-Silverman MD, C., (2015) • Shortness of breath decreased because the left ventricle is • Swelling of the legs and feet References Cont. The main • Ischemic cardiomyopathy is the most commonly identified specific cause of enlarged, dilated, and weak. This is A very common type of • The diagnosis of ischemic • Fatigue due to lack of blood supply to the dilated cardiomyopathy is cardiomyopathy involves a implication of nursing care for dilated cardiomyopathy • Angina (Chest pain) Dovemed (2017). Ischemic Dilated thorough physical heart muscle caused by coronary ischemic cardiomyopathy. ischemic cardiomyopathy is • Myocardial infarction causes localized myocyte necrosis, with resultant scar Cardiomyopathy. Retrieved from examination, symptom Ischemic cardiomyopathy • Weight gain, cough and artery disease and heart attacks. The www.dovemed.com is very important to review assessment, patient education. The nurse formation and loss of contractile function in the ventricular segment perfused Mentz, R. J., Broderick, S., Shaw, L., congestion related to fluid pump is increased by medications, due to its ability to affect a echocardiography, should educate the patient of the by the culprit artery. In addition, the myocardium distal to the area of K., Chiswell, K., Fiuzat, M., & patient’s health in a major electrocardiography, stress retention revascularization, implantable O’Connor, C. M. (2014). Persistent way. Coronary artery test, imaging studies, and following: infarction develops increased wall stress, adverse remodeling, and chamber angina pectoris in ischaemic • Palpitations due to abnormal devices, or with transplant. disease is one of the top coronary catheterization. dilation, so that a cardiomyopathic process occurs in adjacent nonischemic cardiomyopathy: increased rehospitalization and major adverse killers in America; Ischemic • Diet- restriction of sodium to heart rhythms areas. References cardiac events. European Journal Of cardiomyopathy involves it • Cardiovascular magnetic • Dizziness Heart Failure, 16(8), 854-860. and a weakened heart resonance imaging allows 2,000-3,000 mg per day • Ischemic cardiomyopathy is generally ascribed to epicardial coronary Ahn, S., Samady, H., & Ahn, S. G. doi:10.1002/ejhf.130 muscle. This weakened the assessment of (2015). How to differentiate the • Sudden weight gain- more atherosclerosis, but it can also occur in any vasculitic process (eg, Takayasu’s Shammas, N. W., Shammas, G. A., myocardial function, etiology of LV dysfunction as to heart muscle can cause an Keyes, K., Duske, S., Kelly, R., & than 3 pounds in 2 days whether it is “ischemic array of problems for the perfusion, contractile arteritis), congenital abnormalities, embolic conditions (eg, atrial fibrillation, Jerin, M. (2015). Ranolazine versus cardiomyopathy” or “dilated non- patient. Education of reserve and extent of • Exercise- Non-competitive placebo in patients with ischemic endocarditis, thrombophilic states), cardiac allograft vasculopathy, and ischemic cardiomyopathy”? Invasive diseases is important for fibrosis in a single cardiomyopathy and persistent nurses so we can better comprehensive exam. This aerobic exercises microvascular ischemia. coronary and myocardial assessment chest pain or dyspnea despite is a great non-invasive tool is the approach of first choice. optimal medical and treat and educate our • Feelings of lightheaded or Journal of Nuclear Cardiology, 22(5), patients. With working in to use for diagnosis and • Ischemic cardiomyopathy can occur as the direct result of myocardial revascularization therapy: palpitations- call physician 953-956. doi:10.1007/s12350-015- the cardiac catheterization treatment options. It randomized, double-blind crossover infarction or can result from repetitive ischemic results in those with poorly 0135-2 lab, seeing patients with detects myocardial • Take prescribed medications pilot study. Therapeutics & Clinical Aksut MD, B. & Bott-Silverman MD, Risk Management, 11469-474. ischemic disease is very ischemia, viability of the controlled angina C., (2015). Dilated and Restrictive doi:10.2147/TCRM.S82288 common. Making patients muscle, and the extent of Treatment Cardiomyopathies. Cleveland Clinic Tobias Witt, C., Kronborg, M. B., aware of the signs and myocardial scarring, this Disease Management. Retrieved • .Decreased blood flow to the cardiac muscle makes it weak or even die, which Nohr, e. A., Mortensen, P. T., symptoms of coronary information helps from www.clevelandclincmeded.com physician know to perform 1. Medications such as beta- Gerdes, C., Jensen, H. K., & … Witt, disease is important so it decreases its functionality as a pump. American Heart Association (2017). C. T. (2016). Adding the implantable can be revascularized and revascularization, implant blockers, ACE Inhibitors, Dilated Cardiomyopathy. Retrieved cardioverter-defibrillator to cardiac from www.heart.org hopefully not develop into a defibrillator, or which Significance of Pathophysiology resynchronization therapy is digoxin, diuretics, aldosterone Cleveland Clinic (2017). Ischemic ischemic cardiomyopathy. medications to prescribe. associated with improved long-term Cardiomyopathy. Retrieved from • Due to the lack of blood flow to the cardiac muscle from coronary artery inhibitors, and nitrates. survival in ischaemic, but not in non- my.clevelandclinic.org’ ischaemic cardiomyopathy. eP: disease the muscle becomes weak and dilated. The pump function is 2. Lifestyle changes of diet and Darma, A., Nedios, S., Kosiuk, J., Euorpace, 18(3), 413-319. Richter, S., Doering, M., Arya, A., & … exercise doi:10.1093/europace/euv212 decreased which then causes the symptoms listed. Bollmann, A. (2016). Differences in • Without an adequate pump function, the fluid is not pushed out which then 3. Implantable Devices- Cardiac predictors of implantable Resynchronization Therapy cardioverter-defibrillator therapies in causes fluid retention in the heart, lungs, and extremities. This is why the patients with ischaemic and non- or Implantable Cardioverter shortness of breath and edema. ischaemic cardiomyopathies. EP: Defibrillators Europace, 18(3), 405-412. • The ischemia causes the chest pain or angina; revascularization can be doi:10.1093/europace/euv138 4. Revascularization- Doesch, C. & Papavassiliu, T. (2014). performed to help reduce the angina. Angioplasty, stents, or Diagnosis and management of • The weak heart muscle can then cause arrhythmias which can be fatal. ischemic cardiomyopathy: Role of coronary bypass graft surgery cardiovascular magnetic resonance 5. Heart transplant imaging. World Journal of Cardiology • Implantable Cardioverter Defibrillators are implanted to help prevent death 6(11): 1166-1174. due to fatal arrhythmias from the weak heart muscle. .
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