肥厚型心肌病介入护理配合（Hypertrophic cardiomyopathy, interventional nursing, coordination）.docVIP

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肥厚型心肌病介入护理配合（Hypertrophic cardiomyopathy, interventional nursing, coordination）.doc

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肥厚型心肌病介入护理配合（Hypertrophic cardiomyopathy, interventional nursing, coordination）

肥厚型心肌病介入护理配合（Hypertrophic cardiomyopathy, interventional nursing, coordination） Hypertrophic cardiomyopathy, interventional nursing, coordination Hypertrophic left ventricular hypertrophy (HOCM) is characterized by asymmetric left ventricular outflow tract obstruction due to asymmetric ventricular septal hypertrophy. Often recurrent exertional dyspnea, precordial stuffy pain, syncope. Poor quality of life, especially in young adults, sudden cardiac death rate is extremely high, [1]. In 1995, Gigwart first reported nonoperative cardiac ablation for patients with hypertrophic cardiomyopathy ([2]). 8 cases of transcatheter myocardial ablation were performed in our hospital catheter room for 2002~2004 years, and good results were achieved. The intervention nursing report will be as follows. 1 data and methods Of the 1.18 patients with hypertrophic cardiomyopathy, 5 were male and 3 were female, with an average age of (56 + 1.5) years. Of 6 cases, first septal branches were chosen, and second septal branches were chosen for ablation in 2 cases. After operation, the conscious symptoms of the patients were improved, and the systolic murmur of grade 3~4 of left sternal margin was reduced to 1~2 grade, of which 2 cases were placed permanent pacemaker. 1.2 patients were operated by local femoral artery and right internal jugular vein under local anesthesia. The right internal jugular vein was cannulated 6F sheath temporary pacemaker implantation into the right ventricle, and send the rest to the 7F sheath, one side of the right coronary artery angiography in aortic valve tube, and on the other side femoral artery approach placed pigtail catheter into the left ventricle, simultaneous measurement of aortic root pressure curve and left ventricular cavity, if catheter of left ventricular outflow tract pressure gradient (LVOTG) is greater than or equal to 50mmHg [3], on the left anterior descending coronary artery perforating branch chemical ablation, according to the PTCA technolo