Relevant bibliographies by topics / Heart Surgery Patients Medical care

Academic literature on the topic 'Heart Surgery Patients Medical care'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Heart Surgery Patients Medical care"

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Sibagatullin, N. G., M. Kh Zakirzyanov, I. R. Yagafarov, I. R. Zakirov, E. V. Tenin, M. G. Khatypov, Z. Sh Ishmuratova, and N. G. Faskhutdinov. "Six-year results of the regional medical center department of cardiac surgery." Kazan medical journal 96, no. 3 (June 15, 2015): 285–94. http://dx.doi.org/10.17750/kmj2015-285.

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Aim. To summarize the experience of the first years of activity in the department of cardiac surgery of the regional medical center.Methods. 5549 patients with cardiovascular diseases were treated from December 2008 to December 2014, including 3041 patients who underwent surgeries, among them - 1585 vascular interventions, 1128 hearts surgeries. The study included patients operated on the heart and aortic arch, 238 of them had surgeries in 2014 [854 male (75.7%), 274 female (24.3%), aged 22 to 81 years (57.8±8.9)].Results. Number of performed surgeries was assessed to find out whether it matches with the population needs. For coronary heart disease, 880 patients underwent surgeries, 10 were operated for coronary heart disease complications, 132 - for heart valve disease, 16 - for congenital heart disease, 56 - for combined heart disease, 18 - for aortic aneurysms, 16 - for cardiac tumors, 3 for pulmonary embolism and aortic dissection (type 1). The number of heart surgery using cardiopulmonary bypass in recalculation per 1 million inhabitants in 2014 was 317. Thanks to the active work of the regional medical-diagnostic center, significant progress was made in timely identification and providing specialized care to patients with cardiovascular diseases to meet the population needs in high-tech medical care in the region.Conclusion. Evaluation of the study results reveals that the introduction of cardiac surgeries for cardiovascular diseases in the regional center promotes approximation of high-tech medical care to the population of remote regions, improves the quality of treatment in patients with cardiovascular conditions.
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Ashman, Zane, Elizabeth Lancaster, Nancy Satou, Richard J. Shemin, Jonathan R. Hiatt, and Peyman Benharash. "Acute Care Surgery in Heart Transplant Recipients." American Surgeon 79, no. 10 (October 2013): 973–76. http://dx.doi.org/10.1177/000313481307901003.

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Orthotopic heart transplantation (OHT) is the optimal treatment for end-stage heart failure. We reviewed our institutional experience between 2008 and 2012 with acute care surgery (ACS) consultations and procedures within 1 year of OHT in recipients bridged to transplantation with medical therapy (MT, n = 169), including intravenous inotropes, and ventricular assist devices (VADs, n = 74). In total, 28 consultations were required in 21 patients (9%) and 16 procedures were performed in 11 patients (5%). The interval from transplantation to consultation was shorter for the MT group (50 vs 82 days; P = 0.015), whereas the interval from consultation to operation was longer (5 vs 1 day; P = 0.03). Patients undergoing MT were more likely to require consultation for abdominal problems (88 vs 27%; P = 0.004). All but one of the seven ischemic/inflammatory abdominal problems occurred in the MT group. Complications occurred after five ACS procedures (31%) in two patients undergoing MT and three patients undergoing VAD. Mortality was 24 per cent with five deaths occurring within 30 days of ACS consultation and/or operation. In summary, this is one of the largest series of ACS problems in patients undergoing OHT bridged to transplant with MT or VAD. With similar incidence in MT and VAD groups, ACS consultations and operations are infrequent with high mortality and morbidity.
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Nikolaeva, I. E., R. R. Rayanova, L. V. Yakovleva, L. R. Shaybakova, D. V. Onegov, and I. M. Khabibullin. "Organization of specialized care for children with cardiovascular diseases at the republican heart center in Republic of Bashkortostan." Kazan medical journal 96, no. 4 (August 15, 2015): 633–35. http://dx.doi.org/10.17750/kmj2015-633.

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The organization of cardiologic and cardio surgical care for children and adolescents in Republican Heart Center of Republic of Bashkortostan is characterized. The hospital has a united block for providing specialized medical care. Departments of cardio surgery, pediatric cardiology and intensive care unit №1 are based on the same floor. The advantages of staged approach and continuity of care for children and adolescents with cardiovascular diseases is emphasized. Registers for prenatal diagnosis of congenital heart diseases (includes 7894 children and adolescents by December 31, 2012), for pulmonary hypertension are developed and used in the Republican Heart Center for timely cardio surgery in patients with congenital heart diseases. The main directions of medical care for children with cardiovascular diseases in Republic heart center are cardiac surgery of congenital heart diseases, pediatric cardiology, radiosurgery of congenital heart diseases, emergency cardiology and cardiac surgery, and neonatal cardiac surgery. 4500 cardiovascular surgeries are performed annually, including 398 on children aged 0-17 years, among them 224 on assisted circulation. Department of cardio surgery annually performs about 100 surgeries on infant patients with «critical» congenital heart diseases, contributing up to 35% of all children who underwent surgery, including 30 surgeries per year on newborns. The outpatient clinics examines over 15 thousand children per year. The basis of the successful maintaining the public health is good teamwork of highly specialized professionals in the atmosphere of a clear motivation, enthusiasm and high morals.
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Zoumpoulakis, M., F. Anagnostou, S. Dalampiras, L. Zouloumis, and C. Pliakos. "Infective Endocarditis Prophylaxis in Patients Undergoing Oral Surgery." Balkan Journal of Dental Medicine 20, no. 1 (March 1, 2016): 5–14. http://dx.doi.org/10.1515/bjdm-2016-0001.

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SummaryInfective endocarditis (IE), an infection of the endocardium that usually involves the valves and adjacent structures, may be caused by a wide variety of bacteria and fungi that entered the bloodstream and settled in the heart lining, a heart valve or a blood vessel. The IE is uncommon, but people with some heart conditions have a greater risk of developing it. Despite advances in medical, surgical, and critical care interventions, the IE remains a disease that is associated with considerable morbidity and mortality. Hence, in order to minimize the risk of adverse outcome and achieve a yet better management of complications, it is crucial to increase the awareness of all the prophylactic measures of the IE.For the past 50 years, the guidelines for the IE prophylaxis have been under constant changes. The purpose of this paper is to review current dental and medical literature considering the IE prophylaxis, including the new and updated guidelines from the American Heart Association (AHA, 2007 and 2015), the National Institute for Health and Clinical Excellence (NICE, 2015), the European Society of Cardiology (ESC, 2009 and 2015) and the British Society for Antimicrobial Chemotherapy (BSAC, 2006).
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Siromakha, S. O., Yu V. Davydova, A. O. Tarnavska, N. I. Volkova, and N. B. Nakonechna. "Strategy of Medical Care for Pregnant Women with Congenital Heart Disease." Ukrainian journal of cardiovascular surgery, no. 1 (42) (March 16, 2021): 64–69. http://dx.doi.org/10.30702/ujcvs/21.4203/s015064-069/082.8.

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Grown-up congenital heart (GUCH) is a global challenge nowadays. The strategy of medical care for GUCH women dur-ing pregnancy, childbirth and the postpartum period is a topic of active discussion in the expert community. These patients have significantly increased risk of maternal and perinatal loss. A national obstetric cardiology and cardiac surgery multi-disciplinary team (OCCS) established in academic institutions in 2013 has provided medical support to 896 GUCH pregnant women over the last 7 years. In total, GUCH patients accounted for 36% of the cohort of all the examined pregnant women. Of these, 474 (53%) were primigravid. The mean age of the patients at the time of the first visit was 27.3 ± 5.7 years. Patients with uncorrected CHD accounted for 66.2% (n = 593), and 33.8% (n = 303) of pregnant women had undergone correction, including hemodynamic correction of complex CHD in 5 patients. Risk stratification was performed using several scores (mWHO, ZAHARA, CARPREG) for the comprehensive assessment of cardiovascular risk and prediction of pregnancy, deliv-ery, and postpartum period course. 82 patients were classified as having high cardiovascular risk (CVR) after the stratifica-tion. They needed admission to the cardiac surgery facility to receive different types of medical care. There were 2 (2.4%) cases of maternal loss and 3 (3.8%) cases of adverse perinatal outcomes in this group of patients. The article presents the algorithms for multidisciplinary care strategy choice in GUCH pregnant women with high CVR and their routing principles developed by the OCCS. These algorithms significantly reduced adverse outcomes of pregnancy and childbirth in this group of patients. Long-term results were evaluated in 69 patients (86.3%). The follow-up period ranged from 1 to 91 months, on average 34.4 ± 23.6 months. There were no long-term maternal losses or repeated cardiac surgeries. There was one case of unexplained death of a child 8 months after birth. The strategy of multidisciplinary medical care of a high-class GUCH pregnant woman should be personalized depending on the clinical data and in accordance with the ESC 2018 guidelines.
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Adrian, J., D. P. Crankshaw, J. W. G. Tiller, and R. O. Stanley. "Affective, Cognitive and Subjective Changes in Patients Undergoing Cardiac Surgery — a Preliminary Report." Anaesthesia and Intensive Care 16, no. 2 (May 1988): 144–49. http://dx.doi.org/10.1177/0310057x8801600203.

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Neuropsychiatric change following open-heart surgery has been investigated and emboli proposed as a major causative factor. However, few studies have thoroughly evaluated patients’ status prior to surgery. The subjective experiences and neuropsychological status of five open-heart surgery patients was documented both pre- and postoperatively. It was found that prior to surgery patients presented with a wide range of cognitive and emotional problems, some of which were exacerbated by surgery. In particular psychomotor slowing was observed and persisted at six weeks following surgery. This report highlights the importance of conducting preoperative assessments in research which aims to evaluate the effects of different medical procedures on neuropsychiatric functioning.
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Massetti, Massimo, and Giovanni Alfonso Chiariello. "The extended heart: cardiac surgery serving more hospitals." European Heart Journal Supplements 22, Supplement_E (March 24, 2020): E91—E95. http://dx.doi.org/10.1093/eurheartj/suaa069.

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Abstract The Heart Team is becoming ever more central in delivering cardiovascular care, embodying a modern aspect of medical practice, designed to place the patient at the ‘center’ of a team with different specialists, all contributing to the definition of the most appropriate therapeutic actions. We prospectively analyzed 200 consecutive patients (2015–2017). Patients were evaluated independently by a cardiologist and a cardiac surgeon, each deciding the most appropriate therapeutic action. At a later time, the same patient, was evaluated by the Heart Team. For the first 100 patients the rate of concurrence between cardiologist and cardiac surgeon as well as among each specialist and the Heart Team, was relatively low (51 and 42% respectively). For the following 100 patients the concurrence rate was significantly higher (75 and 70% respectively). The systematic and collegial discussion of the patients in the contest of the Heart Team, steered toward an evolution of each specialist in the group settings. The Electronic Heart Team (e-Heart Team) employing video conference support, applied to the first 65 patients with promising results, represent a further advancement in the delivery of care, by reducing the distance from the ‘Hub’ center, and the specialist in the ‘Spoke’ facility, who from simple source of the patient, now becomes an essential part of the therapeutic decision process. The Heart Team environment can deeply affect patients management and improve treatment results, by sharing the expertise and overcoming the limitations of the individual disciplines, thus reaching the common goal of the patient's best available treatment.
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Putra Gofur, Nanda Rachmad, Aisyah Rachmadani Putri Gofur, Soesilaningtyas Soesilaningtyas, Rizki Nur Rachman Putra Gofur, Mega Kahdina, and Hernalia Martadila Putri. "Management Congenital Heart Disease Surgery during COVID-19: A Review Article." Cardiology Research and Reports 4, no. 2 (March 11, 2022): 01–03. http://dx.doi.org/10.31579/2692-9759/040.

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Introduction: Congenital heart disease is a form of heart abnormality that has been acquired since the newborn. The clinical course of this disorder varies from mild to severe. In mild forms, there are often no symptoms, and no abnormalities are found on clinical examination. Whereas in severe CHD, symptoms have been visible since birth and require immediate action. Generally, the management of congenital heart disease includes non-surgical management and surgical management. Non-surgical management includes medical management and interventional cardiology. Medical management is generally secondary as a result of complications from heart disease itself or due to other accompanying disorders. In this case, the goal of medical therapy is to relieve symptoms and signs in addition to preparing for surgery. The duration and method of administration of drugs depend on the type of disease at hand. Discussion: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which led to the coronavirus disease 2019 (COVID-19) pandemic, was initially reported in Wuhan, China in December, 2019. The rapid rise in the number of cases worldwide led to hospitals struggling to cope with the sudden influx of patients. This has had a ripple effect on other parts of health care as manpower and supplies needed to be reallocated. Within cardiology, this has led to outpatient appointments and elective surgeries being reduced and/or postponed. COVID-19 appears to have a complicated relationship with cardiovascular system, as studies have suggested cardiovascular diseases increase disease severity and mortality rates in those who are infected. However, the virus has also been shown to cause cardiovascular complications such as acute myocardial injury, heart failure, and arrhythmia. Conclusion: Coronavirus may also cause myocardial injury via the cytokine storm that occurs in response to a possible large immune response during the infection. Cardiac involvement such as right ventricular failure and congestion can either be a result of respiratory distress or direct cardiac injury caused by the virus, as suggested by the raised cardiac troponin I in critical patients compared to non-critical patients.
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Zaripov, D., Zh Ashimov, and S. Shakhnabieva. "Relevance of Congenital Heart Defects in the Kyrgyz Republic." Bulletin of Science and Practice 6, no. 1 (January 15, 2020): 91–96. http://dx.doi.org/10.33619/2414-2948/50/09.

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Article is devoted to the analysis of material on the relevance of congenital heart defects in the Kyrgyz Republic. The main groups of factors affecting the aetiology of congenital heart defects have been identified. Assessment of social, medical and legal provisions that have developed in cardiac surgery at the present stage dictates the need for monitoring before and after surgical correction, which can provide an improvement in the mechanism for providing medical care to patients. Based on the analysis, measures are proposed to improve the quality of medical care for this category of patients.
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Bogachevskaya, Svetlana A., A. N. Bogachevskiy, and N. A. Kapitonenko. "The organization of high-tech medical care of patients with ischemic heart diseasein the Far East federal region in 2004-2013." Health Care of the Russian Federation 60, no. 5 (May 24, 2019): 251–59. http://dx.doi.org/10.18821/0044-197x-2016-60-5-251-259.

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To determine both perspectives of development of high-tech medical care in Russia and actuality of possible restructuring of system of cardio-surgery care of population it is appropriate to evaluate condition of surgical and intervention treatment of ischemic heart disease i the country and regions using the example of the Far East federal region. The analyzed indices were calculated for 100 000 of adult population. In Russia, during last decade, total common morbidity of ischemic heart disease increased up to 13.25±0,11% (n ± m) and primary morbidity factually doubled. In the Far East region indices increased up to 21,34 ± 0,13% and 67,33 ± 0,15% correspondingly. In Russia, the number of patients after coronary bypass surgery in increased up to 3.3 times (percentage of patients after ischemic heart disease surgery decreased on 42.5%) and number of patients with endovascular correction increased up to 7.8 times (their percentage increased up to 37.2%). In the Far East region increasing of coronary bypass surgery increased in 12.4 times, endovascular procedures - in 32.1 times. In Russia from 2005 lethality during direct myocardium re-vascularization surgery decreased on 21.6% and in case of endovascular interventions increased up to 2.1-2.9 times, including planned operations. The dynamics of most analyzed indices corresponds to international tendencies. However, the level of coronary surgery in Russia is still significantly lower than in the developed countries of Europe and America. In the Far East region, in 2013 situation with coronary surgery looks more reassuring than in 2004-2005 when it factually stopped developing. The health care authorities are to implement in the regions more elaborated analysis ofepidemiological indices with the purpose to develop effective activities concerning indices' amelioration; to standardize evaluation of lethality in case of surgery intervention; to adjust national standards of medical care under ischemic heart disease according international standards.
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Dissertations / Theses on the topic "Heart Surgery Patients Medical care"

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Leung, Mei-ling, and 梁美玲. "An evidence based guideline of pre- and post operative oronasopharyngeal care for cardiac patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48335642.

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Background Nosocomial infection is a crucial problem and cause of morbidity and mortality especially in cardiac surgery settings. The risk of acquiring such infection is even higher because cardiac surgery patients require intensive care postoperatively. The phenomenon is evidenced by longer length of hospital stay and increased cost of care. Pneumonia and surgical site infections were ranked among the top three most common hospital acquired infections. The usual practice for mouth care is diluted thymol gargle solution for intubated patients after cardiac surgery in Hong Kong. No local studies examine the effect of oronasopharyngeal care on minimizing such infections. An evidence based guideline in oral and nasopharyngeal nursing care is necessary to implement in hospitals for improving patient surgical outcome. Objective To develop an evidence based practice guideline for pre- and postoperative oronasopharyngeal care of in-patients undergoing cardiac surgery with implementation planning and discussion on evaluation. Methods The most recent publications were searched till August 2011. Randomized controlled trials with oropharyngeal and/ or nasopharyngeal care with outcome measures on surgical site infection and/ or nosocomial pneumonia were reviewed. Essential data were extracted with quality assessed methodologically. Results Six randomized controlled trials comparing oropharyngeal and/ or nasopharyngeal care intervention with usual care were reviewed. The studies mostly included middle-aged male patients undergoing cardiac surgery. The results showed positively of interventions on nosocomial pneumonia and surgical site infection when compared with usual care. In view of quality assessments and statistically significant findings, the proposed change that could improve surgical outcome of patients is to use chlorhexidine gluconate on oronasopharyngeal care in the guideline. It mainly carries out in in-hospital settings both by patients with education from nurses preoperatively, and by nurses postoperatively. Conclusion Reviewed evidence shown that the oronasopharyngeal care interventions help effectively on minimizing the occurrence of nosocomial pneumonia and surgical site infections for patients undergoing heart surgery. It could be potentially adopted for nurses working in cardiac surgical ward and cardiac intensive care unit.
published_or_final_version
Nursing Studies
Master
Master of Nursing
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Ågren, Susanna. "Supportive care for patients with heart failure and their partners : A descriptive and interventional study." Doctoral thesis, Linköpings universitet, Omvårdnad, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-56232.

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Background: Having the support of a partner is essential for both health related quality of life and survival in heart failure patients. However, caring for a patient with heart failure may affect the health related quality of life, well‐being and cause a burden for the partner. The partner is expected to be responsible for the care, which may have consequences for the heart failure patient’s long‐term health and well‐being. Further research to determine health related quality of life, well‐being, caregiver burden and needs of partners is warranted as well as studies evaluating interventions targeting patient‐partner dyads. Aim: The overall aim was to describe how the life situation of patient‐partner dyads was influenced by heart failure and to determine the effects of an intervention of follow‐up with education and psychosocial support for patient‐partner dyads. Design and methods: The thesis is based on three quantitative studies and one qualitative study. The first two studies were descriptive and included 135 dyads (patient‐partner) (I, II) and the randomised intervention study included a total of 155 dyads (IV). The qualitative study had a grounded theory approach. Thirteen partners were interviewed and data analysed using constant comparative method (III). Results: Caregiver burden was perceived as moderate in 30% of the partners and the rest experienced a low caregiver burden. The patients’ physical component score of SF‐36, partners’ mental component score of SF‐36 and perceived control explained 39% of the caregiver burden (I). Patients had lower health related quality of life compared to their partners in all dimensions except in the mental health domain of SF‐36 and lower qualityadjusted life year weights compared to their partners. Mental health scores were lower in partners compared to age and gender‐matched references. All other health related quality of life scores and the quality‐adjusted life year weights were comparable between the partners and the reference group. Patients had more depressive symptoms than their partners. There was no difference in the level of perceived control or knowledge about chronic heart failure between patients and partners (II). During grounded theory analysis confirmation was identified as describing the core category of the partners’ individual needs. The core category theoretically binds together three underlying subcategories: security, rest for mind and body, and inner strength. Confirmation facilitated acceptance and improvement of mental and physical health among partners (III). At the three month follow‐up the dyad‐intervention had improved perceived control in patients, but not in the partners. There were no other significant differences in the control and intervention group with regard to the dyads’ health related quality of life and symptoms of depression. There were also no differences in the patients’ self‐care behaviour and partners’ experiences of caregiver burden (IV). Conclusions and implications: Partners to patients with chronic heart failure are at risk of decreased mental well‐being. One third of the partners experienced a moderate caregiver burden and was therefore at a higher risk of poor mental health and decreased perceived control. During short‐term follow‐up the intervention with education and psychosocial support to dyads (patient‐partner) improved the level of perceived control in the chronic heart failure patient group. By identifying partnersʹ needs for security, rest for mind and body, and inner strength, healthcare professionals can confirm these needs throughout the caring process, from the critical care period and throughout rehabilitation at home. Interventions targeting dyads have been limited in previous research. Partners need to be prepared regarding the disease process, the daily regimen, hopes for the future and responsible care providers. They also need to be confirmed because they are vital to the patients’ recovery. Further, the effects of the intervention study should also include a long‐term follow‐up as well as an evaluation of the health‐economic perspective including direct and indirect costs of care.
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Sisterman, Kathryn, and Kathryn Sisterman. "Improving Care for Patients Hospitalized with Heart Failure." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626616.

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Background: Heart failure is a clinical syndrome occurring from the heart’s inability to effectively fill and or pump blood, it is the most common reason for admission in elderly patients. Guideline directed medical therapy refers to implementation of all class I agents to reduce patient morbidity and mortality, unless there is an appropriate contraindication. Appropriate beta blocker (BB), angiotensin converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB), and aldosterone antagonist (AA) are recommended to be prescribed together prior to discharge for a hospital admission for decompensated heart failure with reduced ejection fraction (HFrEF). Get With The Guidelines – Heart Failure (GWTG- HF) is an online quality improvement project that assists hospitals in providing guideline directed care. Objective: The purpose of this study was to determine if implementation of the GWTG-HF program, increases provider adherence to guideline directed medical therapy (GDMT) for patients admitted with a primary diagnosis of decompensated HFrEF at Banner University Medical Center Tucson (BUMCT). Design: This is a quality improvement project with a pre and post test descriptive design. Setting: BUMCT from 10/04/17 – 11/08/17 Participants: Fifty-five patients discharged with the primary diagnosis of decompensated HFrEF Measurements: Baseline guideline adherence for a 30-day period was compared to guideline adherence after the initiation of the GWTG-HF program. Results: The 24 patients pre intervention were compared to 31 patients post intervention. The following results were found when comparing pre and post adherence rates: BB adherence 92% versus 100%, ACEI/ARB adherence 100% versus 94%, AA adherence 67% versus 84%, and guideline directed medical therapy 58% versus 81%. There were no statistically significant differences for the pre and post adherence rates. Conclusion: Although, there were no statistically significant differences found to support that implementation of the GWTG-HF program, increases providers adherence to GDMT for patients admitted with a primary diagnosis of decompensated HFrEF, the trends were clear. In three out of four class I agents, there was an increase in appropriate provider prescribing per the guidelines.
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Maynard, Charles. "Blacks in the coronary artery surgery study /." Thesis, Connect to this title online; UW restricted, 1986. http://hdl.handle.net/1773/8877.

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Cozac, JoAnn Lee. "Spouses’ experiences of having a mate in the Intensive Care Unit following coronary artery bypass graft surgery." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24413.

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It is generally recognized that a serious illness with concurrent hospitalization in an ICU will have an impact on family members. Few researchers, however, have described the ways in which spouses are affected when their mates are hospitalized in an ICU. Therefore, this study aimed to describe and explain the spouses' experiences of having a mate in an ICU following coronary artery bypass graft surgery. Kleinman's conceptual framework guided the development of the research question and provided the focus for data collection and analysis. Kleinman proposes that an understanding of the client's perspective is necessary for the provision of effective health care. A qualitative research method based on the theoretical perspective of phenomenology was used to answer the research question. The spouses' viewpoints were elicited through unstructured interviews. The sample consisted of seven spouses, four women and three men. The spouses were interviewed on two occasions, once while their mate was still in the ICU and once shortly following their mate's discharge from the ICU. A total of 13 in-depth interviews were conducted over a 3 month period. Data were analyzed simultaneously with and following data collection. Responses that were similar were grouped together into categories. After the data were examined and sorted into categories, the researcher defined the theme that dominated each category. The themes that emerged from the data were clarified, validated, and/or rejected by the participants during subsequent interviews. As relationships between the categories were identified, the important aspects of the spouses' experiences became apparent. The findings revealed that the spouses located the ICU experience within the context of their experience with their mate's coronary artery bypass graft surgery. The spouses understood and made sense of the ICU experience by attaching meaning to specific events that related to the entire surgical experience. They perceived the surgical experience as consisting of three distinct but interrelated phases: pre-surgery; waiting during surgery; and post-surgery. During each phase, the spouses described and explained how they reacted to and coped with each new situation. These two themes, "reaction to the situation" and "coping with the situation," appeared as threads throughout the entire surgical experience. By organizing the data in relation to phases and themes, the researcher was able to meaningfully understand and communicate the spouses' entire surgical experience. In view of the study findings, implications for nursing practice, education and research are delineated.
Applied Science, Faculty of
Nursing, School of
Graduate
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Shaffer, Leigh Larsen. "NURSES' RESPONSE TO CARING FOR PATIENTS WHO HAVE RECEIVED A HEART TRANSPLANT." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276401.

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Nilsson, Sophie, and Emelie Elwing. "Experienced reasons for low compliance in patients with heart failure." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25641.

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Bakgrund: Att leva med hjärtsvikt innebär att leva med en allvarlig kronisk sjukdom, vilket ställer höga krav på patienten. Konsekvensen av låg följsamhet kan bli att symptomen förvärras vilket i sin tur leder till sjukhusvistelse. För att förbättra följsamheten hos dessa patienter behöver alternativa strategier lyftas fram. Som bakgrund till detta tar studien upp hjärtsvikt och dess behandling, hälsolitteracitet som begrepp och användningsområde, låg följsamhet och låg hälsolitteracitet samt sjuksköterskans omvårdnadsperspektiv. Syfte: Syftet med litteraturstudien var att undersöka upplevda orsaker till låg följsamhet hos patienter med hjärtsvikt. Metod: Studien genomfördes som en litteraturstudie med kvalitativ ansats, inriktad på patienter med hjärtsvikt och deras perspektiv. Databassökning genomfördes med blocksökningar i CINAHL och PubMed. 12 artiklar granskades med en granskningsmall för kvalitativa artiklar, utformad av SBU. En enkel form av innehållsanalys enligt Forsberg och Wengström, användes vid analysförfarandet. Resultat: Patienter upplevde sig ha svårt att förstå sin sjukdom, de kände att stort ansvar lades på dem, saknade stöd, fick bristfällig information och upplevde otydlig kommunikation med hälso- och sjukvården. De hade även svårt att ändra vanor och upplevde sig gå miste om sociala situationer till följd av känslan av den begränsning som rekommendationerna medförde. Detta ledde i sin tur till låg följsamhet. Resultatet presenterades i fyra teman: att inte förstå sin sjukdom, upplevelse av bristande stöd, upplevelse av bristande kommunikation och information och upplevelse av bristande välbefinnande. Slutsats: Resultatet visade på de svårigheter som patienter upplever i att leva med hjärtsvikt. De fyra teman diskuterades utifrån hälsolitteracitet, sjuksköterskans omvårdnadsperspektiv och personcentrerad vård. Studien lyfte fram patienters perspektiv av orsaker till låg följsamhet men även hur sjuksköterskan skulle kunna påverka patienter till ökad följsamhet. Ett personcentrerat perspektiv och kunskap om hälsolitteracitet lyfts fram som alternativa sätt att nå patienter med låg följsamhet.
Background: To live with heart failure means living with a severe cronic disease, this requires a lot of the patients. The consequence of low compliance can result in worsened symptoms which leads to hospitalization. To improve patients’ compliance alternative strategies needs to be highlighted. The background in this study contains four parts: heart failure and its treatment, health literacy as a concept and its usability, low compliance and low health literacy, and a nursing perspective. Aim: The aim was to explore perceived reasons for low compliance in patients with heart failure. Method: The study was conducted as a literature review with a qualitative approach, with a focus on patients with a heart failure and their perspective. The database search was performed with searches in CINAHL and PubMed. 12 articles were reviewed with a template by SBU. A simple form of content analysis was used for analysing the articles. Result: Patients experienced that it was difficult to understand their disease, they felt a large responsibility were imposed on them, they experienced a lack of support, inadequate information and experienced inexplicit communication with the health care. Patients also experienced difficulty changing habits and to miss out on social occasions because of the limitations the recommendations imposed. All this led to low compliance. The results were presented in four themes: to not understand one’s disease, experience of a lack of support, experience of inadequate communication and information, and experience of insufficient wellbeing. Conclusion: The results show the difficulties that patients experience when living with heart failure. The four themes were discussed from a health literacy perspective, a nursing perspective and patient-centered care. The study highlights the patient perspective on reasons for low compliance but also how the nurse can influence patients to increase their compliance. Health literacy and patient-centered care are discussed as alternative ways to reach patients with low compliance.
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Smith, Kristin K. "A comparison of objective versus subjective recording of respiratory rates in adult medical cardiac patients." free to MU campus, to others for purchase, 1998. http://wwwlib.umi.com/cr/mo/fullcit?p1392396.

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Haghshenas, Abbas Public Health &amp Community Medicine Faculty of Medicine UNSW. "Negotiating norms, navigating care: the practice of culturally competent care in cardiac rehabilitation." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/32280.

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BACKGROUND Increasingly, it is recognised that the unique needs of people from culturally and linguistically diverse backgrounds (CaLDB) should be addressed within a framework of cultural competence. To date, there are limited data on the issues facing CaLDB patients in the Cardiac Rehabilitation (CR) setting. Appreciation of an individual???s values, attitudes and beliefs underpins negotiation of behaviour change in the CR setting. Therefore an understanding of patient and professional interactions is of key importance. OBJECTIVES The focus of this study has been to undertake an exploration of CR service delivery to people from culturally and linguistically diverse backgrounds, using Arabic speaking people as an exemplar of a CaLDB group. More broadly, this research project has sought to identify factors, which influence the practice of health professionals towards CaLDB patients, and to develop a model for evaluation of culturally competent health care in the CR setting. The study sought to achieve these aims by addressing the following research questions: 1. In what way do health practitioners in CR adjust their treatment and support to accommodate the perceived needs of CaLDB communities? 2. In what way do factors (such as individual and organisation perspectives) influence the adjustment of clinical practice and service delivery of CR practitioners; and what are practitioners??? and patients??? perception of barriers and facilitators to service delivery? 3. To what level are CaLDB patients satisfied with CR services? This study design is comprised of the following elements: (1) interviews with health practitioners and Arabic speaking background patients as an exemplar of CaLDB patients; (2) review of policy and procedure documents and medical records; and (3) field observation. METHOD This thesis embraces a qualitative approach as the primary method of investigation to align with the exploratory and descriptive nature of the study. The main methods used in the study were: in depth interviews with health professionals and patients; field observations; appraisal of relevant documents and consultation with expert panels. Study samples were selected through a purposive sampling strategy.Data were analysed using the method of content analysis, guided by the research questions. FINDINGS In total, 25 health professionals (20 female and 5 male) and 32 patients (21 male and 11 female) were interviewed. The method of qualitative content analysis was used for data analysis. Data analysis revealed four major themes: 1) The challenging context; 2) Tuning practices; 3) Influencing factors; and 4) Goodness of fit. The study demonstrated a challenging context for CR delivery, both from the perspective of patients and health professionals. Data reveal a process of reflection, negotiation, and navigation of care by CR health professionals in an effort to understand and meet the diverse needs of CALDB patients. CONCLUSION On the basis of the study findings, a process-oriented model of tuning practice to achieve cultural competence in CR delivery is proposed to inform policy, research and clinical practice.
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Bischoff, Bernhard, Sigmund Silber, Barbara M. Richartz, Lars Pieper, Jens Klotsche, and Hans-Ulrich Wittchen. "Inadequate medical treatment of patients with coronary artery disease by primary care physicians in Germany." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-106354.

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Aims: The DETECT study was performed to obtain representative data about the frequency, distribution, and treatment of patients with coronary artery disease (CAD) in the primary care setting in Germany. Methods and results: The DETECT study was a cross–sectional clinical– epidemiological survey of a nationally representative sample of 3795 primary care offices and 55 518 patients. Overall, 12.4% of patients were diagnosed with CAD. Stable angina pectoris and myocardial infarction were the most frequent (4.2%) subgroups, followed by status post (s/p) percutaneous coronary interventions (PCI, 3.0%) and s/p coronary bypass surgery (2.2%). Patients with CAD were prescribed AT1 receptor antagonists (in 19.4% of cases), beta blockers (57.2%), ACE inhibitors (49.9%), antiplatelet agents (52.7%), statins (43.0%), and long–term nitrates (24.5%). When comparing all CAD patients with social health care insurance to those who had private insurance, private patients had significantly higher rates of revascularisation procedures and use of preventive medications. Conclusion: Great potential remains for improving secondary prevention in primary care in Germany to reduce the risk of further coronary or vascular events, especially in patients with social health care insurance.
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Books on the topic "Heart Surgery Patients Medical care"

1

Inwood, Helen L. Adult cardiac surgery: Nursing care and management. London: Whurr, 2002.

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H, Cheng Davy C., and David Tirone E, eds. Perioperative care in cardiac anesthesia and surgery. Austin, Tex., U.S.A: Landes Bioscience, 1999.

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MD, Goldstein Daniel J., and Oz Mehmet 1960-, eds. Cardiac assist devices. Armonk, NY: Futura Pub. Co., 2000.

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1930-, Austen W. Gerald, ed. Patient care in cardiac surgery. 4th ed. Boston: Little, Brown, 1985.

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Office, General Accounting. VA health care: Language barriers between providers and patients have been reduced : report to the chairman, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C: The Office, 1989.

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Office, General Accounting. VA health care: Veterans' demand for outpatient care : report to congressional requesters. Washington, D.C: The Office, 1989.

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Office, General Accounting. VA health care: Monitoring of cardiac surgery and kidney transplantation : report to the Chairman, Subcommittee on HUD-Independent Agencies, Committee on Appropriations, U.S. Senate. Washington, D.C: The Office, 1988.

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1968-, Walther Axel, and Jones Philip 1969-, eds. Perioperative medicine: Managing surgical patients with medical problems. 2nd ed. Oxford: Oxford University Press, 2009.

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Borggrefe, Martin. Catheter ablation of ventricular tachycardia in patients with structural heart disease. Armonk, N.Y: Futura Pub. Co., 2000.

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L, Atlee John, Gombotz H, and Tscheliessnigg K. H, eds. Perioperative management of pacemaker patients. Berlin: Springer-Verlag, 1992.

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Book chapters on the topic "Heart Surgery Patients Medical care"

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Moorthy, Aditya, and Shreya Krishna. "Management of Medical Comorbidities in Maxillofacial Surgery." In Oral and Maxillofacial Surgery for the Clinician, 25–48. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-1346-6_3.

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AbstractOral and Maxillofacial surgery, like any surgical specialty, has two vital requirements. First, having the right armamentarium, and, second, acquiring appropriate skills and knowledge of the patients’ disease process, including comorbidities. With the changing demographic in India, the profile of Indian patient has undergone a sea change in the last few decades. From acute conditions that had little impact on subsequent health of the patient, we have arrived at a scenario where a large proportion of patients present with chronic disorders like diabetes, ischemic heart diseases, etc. that affect many elective procedures we undertake and require optimization of the overall physical status of the patient before proceeding with any surgery.Trainee surgeons need to be aware and updated and should be able to recognize, treat, or appropriately refer patients to the requisite specialty in case of complex conditions beyond their remit or ability. In this chapter, readers will get a very brief overview of the different organ systems that play crucial role in homeostasis and how to modify the treatment when there’s an imbalance in either of these systems.
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Gregory, George A. "Postoperative Care of Pediatric Cardiac Surgery Patients." In Anesthesia, The Heart and the Vascular System, 224–26. Dordrecht: Springer Netherlands, 1987. http://dx.doi.org/10.1007/978-94-009-3295-1_26.

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Ray, Ranjan, and Michael Pham. "Medical Course and Complications After Heart Transplantation." In Psychosocial Care of End-Stage Organ Disease and Transplant Patients, 227–35. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-94914-7_20.

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Baird, Christopher W., Patrick O. Myers, Gerald Marx, Meena Nathan, Brian T. Kalish, Wayne Tworetzky, Puja Banka, Sitaram M. Emani, John E. Mayer, and Pedro J. del Nido. "Biventricular Repair in Patients with a Borderline Left Heart." In Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care, 1765–85. London: Springer London, 2013. http://dx.doi.org/10.1007/978-1-4471-4619-3_37.

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Kellermann, Jan J. "Comprehensive cardiac care and quality of life in patients after surgical revascularization." In Quality of Life after Open Heart Surgery, 133–38. Dordrecht: Springer Netherlands, 1992. http://dx.doi.org/10.1007/978-94-011-2640-3_13.

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Filippo, Sylvie Di. "Prevention of Infective Endocarditis in Patients with Congenital Heart Disease." In Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care, 2297–306. London: Springer London, 2013. http://dx.doi.org/10.1007/978-1-4471-4619-3_3.

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Mittnacht, Alexander, and Cesar Rodriguez-Diaz. "Fast-Tracking and Regional Anesthesia in Pediatric Patients Undergoing Congenital Heart Surgery." In Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care, 691–703. London: Springer London, 2013. http://dx.doi.org/10.1007/978-1-4471-4619-3_151.

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Gerhardt, U. "The Discrepancy Between Social and Medical Rehabilitation of Patients with Coronary Heart Disease." In Return to Work After Coronary Artery Bypass Surgery, 203–8. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-69855-2_28.

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Gerhardt, Uta. "The relationship between medical and occupational rehabilitation in two cohorts of coronary artery bypass patients ten years apart." In Quality of Life after Open Heart Surgery, 215–26. Dordrecht: Springer Netherlands, 1992. http://dx.doi.org/10.1007/978-94-011-2640-3_21.

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Wray, Jo, Bradley S. Marino, and Karen Uzark. "Health-Related Quality of Life in Pediatric and Adult Patients with Congenital Heart Disease." In Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care, 1–27. London: Springer London, 2020. http://dx.doi.org/10.1007/978-1-4471-4999-6_288-1.

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Conference papers on the topic "Heart Surgery Patients Medical care"

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McDaniel, Lauralyn. "3D Printing in Medicine: Challenges Beyond Technology." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3492.

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Dramatic news headlines imply that the use of additive manufacturing/3D printing in medicine is a brand new way to save and improve lives. The truth is, it’s not so new. Twenty years ago anatomical models were beginning to be used for planning complicated surgeries. In 2000, hearing aid cases were being 3D-printed and within a few years became industry standard. Medical applications have been a leader in taking 3D printing technology far beyond a product development tool. The combination of using medical imaging data to create patient-matched devices and the ability to manufacture structures difficult to produce with traditional technologies is compelling to an industry always looking for ways to innovate. Surgical uses of 3D printing-centric therapies have a long history beginning with anatomical modeling for bony reconstructive surgery planning[8]. By practicing on a tactile model before surgery surgeons were more prepared and patients received better care. Patient matched implants were a natural extension of this work, leading to truly personalized implants that fit one unique individual[10]. Virtual planning of surgery and guidance using 3D printed, personalized instruments have been applied to many areas of surgery including total joint replacement and craniomaxillofacial reconstruction with great success[9,11]. Further study of the use of models for planning heart and solid organ surgery has lead to increased use in these areas[14]. Finally, hospital-based 3D printing is now of great interest and many institutions are pursuing adding this specialty within individual radiology departments[12,13]. Despite these successful areas of application, widespread use has been fairly slow. Working toward increasing the use of 3D printing in medicine, industry professionals, clinicians, technology developers, and researchers[1] are working together to first identify the challenges and then develop tools and resources to address these challenges.
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Zeiner, Klaus, Florian Thurk, Stefan Kampusch, Eugenijus Kaniusas, Adam Bukaty, Christian Reiterer, Barbara Kabon, and Klaus Ulrich Klein. "Heart rate variability analysis as a possible predictor of perioperative risk in patients undergoing general surgery." In 2018 IEEE International Symposium on Medical Measurements and Applications (MeMeA). IEEE, 2018. http://dx.doi.org/10.1109/memea.2018.8438771.

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Wray, J., G. Biglino, S. Hall, and S. Layton. "042 Exploring congenital heart disease with paediatric and adult patients: an interdisciplinary approach using art, medical imaging and 3D printing." In Great Ormond Street Hospital Conference 2018: Continuous Care. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/goshabs.42.

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Donati, Massimiliano, Silvia Panicacci, Luca Fanucci, Sergio Saponara, Lamia Ait-Ali, Stefano Dalmiani, Pierluigi Festa, et al. "Improving care model for congenital heart diseases in paediatric patients using home telemonitoring of vital signs via biomedical sensors." In 2020 IEEE International Symposium on Medical Measurements and Applications (MeMeA). IEEE, 2020. http://dx.doi.org/10.1109/memea49120.2020.9137163.

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Naser, Nabil, and Zumreta Kušljugić. "ADULT CONGENITAL HEART DISEASE – NEW GUIDELINES AND CLINICAL CARE PERSPECTIVE." In International Scientific Symposium “Diagnostics in Cardiology and Grown-Up Congenital Heart Disease (GUCH)”. Academy of Sciences and Arts of Bosnia and Herzegovina, 2021. http://dx.doi.org/10.5644/pi2021.199.04.

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To date, the prevalence of CHD worldwide is ∼9 per 1000 newborns, with substantial geographic variation. The latest knowledge in the world for the last 50 years about their origin, diagnosis and therapy has contributed to their care. Since adult patients with CHD now present increasing numbers at advanced ages, including the elderly, the term grown-up CHD no longer appears appropriate and was therefore replaced with adult CHD (ACHD) according to the ESC guidelines published in 2020 year. Due to medical, surgical, and technological evolutions over the past decades, >90% of individuals who are born with CHD now survive into adulthood. ACHD represent a challenge for clinicians. Despite optimal medical and surgical treatment, many will experience a progressive decline in cardiopulmonary function leading to advanced heart failure. Severe ventricular dysfunction and/or pulmonary hypertension may not be amenable to corrective repair. Their early recognition and follow-up in adolescence will contribute to better care for these patients. Importantly, the care for ACHD patients is a lifelong process and requires advance care planning strategies.
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Zhao, Tianwen (Tina), Amy Martinez, and Hengchu Cao. "Experimental Validation of SAPIEN Transcatheter Heart Valve FEA Models." In ASME 2013 Conference on Frontiers in Medical Devices: Applications of Computer Modeling and Simulation. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/fmd2013-16053.

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The Edwards SAPIEN transcatheter heart valve (Figure 1) is designed for heart valve replacement in patients with severe aortic stenosis without open-heart surgery. Physiological FEA analyses have been performed to provide an assessment of the fracture and fatigue resistance of the device during deployment and operation. The present study validates FEA frame models by comparing the crimping behavior of the FEA models with the results of crimping experiments.
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Kim, Jinsoo, Ciaran O’Neill, Kavya Pathak, Sai Shanthanand Rajagopal, Martina Moyne, Glen Picard, J. Andrew Taylor, and Conor Walsh. "Automatically Triggered FES Rowing Device for SCI Patients With Motorized Return." In 2018 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dmd2018-6824.

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A quarter of a million people in the United States are affected by spinal cord injury (SCI), which causes loss of sensation and muscle function. Improvements in clinical care have resulted in a lower risk of mortality from initial complications like bedsores or urosepsis, though patients are more susceptible to long term conditions like coronary heart disease [1], which is a leading cause of death for SCI patients [2]. Patients with SCI have sedentary lifestyles, decreased aerobic fitness, and limited levels of oxygen uptake, which contribute to increased rates of cardiovascular complications [2]. To mitigate these factors, SCI patients must perform vigorous aerobic exercise, which can be done through functional electrical stimulation (FES) [3].
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R., Senthil J., Santa A., Pavan KB, Rakesh P., Pravanika G., Pravanika G., Narander Ch, and Krishna MMVT. "An Analysis of Acute Adverse Drug Reactions Occurring in Day Care Chemotherapy Setting in a Tertiary Care Cancer Centre." In Annual Conference of Indian Society of Medical and Paediatric Oncology (ISMPO). Thieme Medical and Scientific Publishers Pvt. Ltd., 2021. http://dx.doi.org/10.1055/s-0041-1735376.

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Abstract Introduction Acute adverse drug reactions (ADRs) in day care chemotherapy are not uncommon and easily manageable many a time. However, sometimes they may lead to untoward events. It is of paramount importance to document and analyze such events in contemporary medical oncology practice for the best utilization and planning of available personnel and resources. Objectives This study was aimed to analyze the acute ADRs occurring in day care cancer chemotherapy setting. Materials and Methods All acute ADRs reported in day care cancer chemotherapy setting, during the administration of chemotherapy, at Basavatarakam Indo American Cancer Hospital, Hyderabad, Telangana, India, were included in the study from June 15, 2020 to September 30, 2020. The ADRs were classified in to anaphylactic, allergic, and gastrointestinal (nausea/vomiting/heart burns/chest tightness). All ADRs were graded according to CTCAE version 5.0. Suspected drugs, time to reaction, and corrective measures were analyzed. Results During the study period, a total of 8,600 sessions of day care chemotherapy were administered. ADRs were noticed in 83 cases (~1%). Among the reported ADRs, anaphylactic reactions were noted in 20 patients (24%); allergic reactions of grades 1 and 2 were noted in 41 patients (49%). Gastrointestinal ADRs were noted in 30 patients (36%). Adverse reactions are mostly seen in oxaliplatin (22.8%), rituximab (14.4%), paclitaxel (15.6%), carboplatin (13.2%), and docetaxel (7.2%). In grade-I (10%) and grade-II (63%) resections, supportive treatment was provided and chemotherapy was continued. Grade-III ADRs were noted in 21 patients (25%) out of whom, 3 patients required short-term intensive care, chemotherapy was withheld until the next cycle in one patient, and chemotherapy regimen was changed in 3 patients. No patient died of ADR. Conclusion Serious ADRs are rare in contemporary medical oncology practice during day care chemotherapy administration. Most acute ADRs were easily managed.
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Duraiswamy, Nandini, Yasamin Ekrami, Jason Weaver, Stephen Retta, and Changfu Wu. "Non-Circular Configurations Increase Heart Valve Leaflet Stresses and Alter Leaflet Kinematics: A Computational Approach." In ASME 2013 Conference on Frontiers in Medical Devices: Applications of Computer Modeling and Simulation. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/fmd2013-16191.

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Transcatheter heart valve (THV) technology represents a new treatment option for many patients with severe aortic stenosis, especially those who may be ‘high risk’ candidates for valve replacement surgery. THVs are typically deployed through a small incision in either the thigh (transfemoral approach) or the chest (transapical approach). As opposed to traditional heart valve replacement surgery, THVs are deployed within the diseased valve. The metal frame pushes against the calcified leaflets and is held in place via the frame’s interaction with the native diseased valve and annular tissue. The compliant nature of the THV combined with the rigid diseased tissue has resulted often in deformed deployment of THVs clinically [1, 2].
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Bosmans, Bart, Toon Huysmans, Roel Wirix-Speetjens, Peter Verschueren, Jan Sijbers, Johan Bosmans, and Jos Vander Sloten. "Statistical Shape Modeling and Population Analysis of the Aortic Root of TAVI Patients." In ASME 2013 Conference on Frontiers in Medical Devices: Applications of Computer Modeling and Simulation. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/fmd2013-16153.

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Transcatheter aortic valve implantation (TAVI) is a relatively new technique offering a treatment option to patients for whom an open-heart surgery represents a high risk of fatality. Due to the percutaneous delivery method of this treatment, there are challenges associated. In this technique the native aortic valve is not resected, making it difficult to judge the required size of the implant and making the sealing unpredictable. After implantation, 50% of the patients suffer from at least a mild degree of leakage alongside the implant, also known as paravalvular regurgitation [1].
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Reports on the topic "Heart Surgery Patients Medical care"

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FEDOTKINA, S. A., O. V. MUZALEVA, and E. V. KHUGAEVA. RETROSPECTIVE ANALYSIS OF THE USE OF TELEMEDICINE TECHNOLOGIES FOR THE PREVENTION, DIAGNOSIS AND TREATMENT OF HYPERTENSION. Science and Innovation Center Publishing House, 2021. http://dx.doi.org/10.12731/978-0-615-67320-2-4-22.

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Introduction. The economic losses associated with disability due to diseases of the circulatory system, as well as the costs of providing medical care to patients suffering from heart and vascular diseases, are increasing annually. The state preventive measures currently being carried out are of a delayed nature. The results of the medical examination of the population of the Russian Federation in recent years (2015-2019) indicate that the incidence of cardiovascular diseases, including hypertension, is at a fairly high level. In the middle of the last century, the Concept of risk factors for the development of chronic non-communicable diseases were formulated, in the structure of which cardiovascular diseases, including arterial hypertension, occupies one of the primary positions. The concept is based on the results of promising epidemiological studies, and, at present, is a methodological basis for planning and organizing primary prevention of cardiovascular diseases. The purpose of the study. Based on the analysis of literary sources (including foreign ones) containing experience in the use of telemedicine technologies, to assess their significance for the prevention, diagnosis and treatment of hypertension, as well as forecasting improvements in the quality of medical care when adapting to the use of clinical recommendations. Materials and methods. The article provides an analytical review of the use of modern telemedicine technologies in the prevention of hypertension. The results of the study and their discussion. The analysis of literary sources has shown that in the context of the progress of information and telecommunication technologies in the healthcare system, a fundamentally new direction has appeared in the organization and provision of medical care to the population - telemedicine, which will ensure the modern level of prevention, detection and treatment of chronic non-communicable diseases, and also determines positive medical, social and economic performance indicators. To date, updates in the legislative framework of the Russian Federation are aimed at ensuring that medical care with the use of telemedicine technologies is more widespread, taking into account the standards of medical care and clinical recommendations. Conclusion. Based on a review of literature sources, it has been established that the modern solution to the problem of improving the quality of medical care for patients, including those with hypertension, diseases is medical care using telemedicine technologies that prove their medical, social and economic effectiveness.
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Uhl, Stacey, Shazia Mehmood Siddique, Liam McKeever, Aaron Bloschichak, Kristen D’Anci, Brian Leas, Nikhil K. Mull, and Amy Y. Tsou. Malnutrition in Hospitalized Adults: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), October 2021. http://dx.doi.org/10.23970/ahrqepccer249.

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Objectives. To review the association between malnutrition and clinical outcomes among hospitalized patients, evaluate effectiveness of measurement tools for malnutrition on clinical outcomes, and assess effectiveness of hospital-initiated interventions for patients diagnosed with malnutrition. Data sources. We searched electronic databases (Embase®, MEDLINE®, PubMed®, and the Cochrane Library) from January 1, 2000, to June 3, 2021. We hand-searched reference lists of relevant studies and searched for unpublished studies in ClinicalTrials.gov. Review methods. Using predefined criteria and dual review, we selected (1) existing systematic reviews (SRs) to assess the association between malnutrition and clinical outcomes, (2) randomized and non-randomized studies to evaluate the effectiveness of malnutrition tools on clinical outcomes, and (3) randomized controlled trials (RCTs) to assess effectiveness of hospital-initiated treatments for malnutrition. Clinical outcomes of interest included mortality, length of stay, 30-day readmission, quality of life, functional status, activities of daily living, hospital acquired conditions, wound healing, and discharge disposition. When appropriate, we conducted meta-analysis to quantitatively summarize study findings; otherwise, data were narratively synthesized. When available, we used pooled estimates from existing SRs to determine the association between malnutrition and clinical outcomes, and assessed the strength of evidence. Results. Six existing SRs (including 43 unique studies) provided evidence on the association between malnutrition and clinical outcomes. Low to moderate strength of evidence (SOE) showed an association between malnutrition and increased hospital mortality and prolonged hospital length of stay. This association was observed across patients hospitalized for an acute medical event requiring intensive care unit care, heart failure, and cirrhosis. Literature searches found no studies that met inclusion criteria and assessed effectiveness of measurement tools. The primary reason studies did not meet inclusion criteria is because they lacked an appropriate control group. Moderate SOE from 11 RCTs found that hospital-initiated malnutrition interventions likely reduce mortality compared with usual care among hospitalized patients diagnosed with malnutrition. Low SOE indicated that hospital-initiated malnutrition interventions may also improve quality of life compared to usual care. Conclusions. Evidence shows an association between malnutrition and increased mortality and prolonged length of hospital stay among hospitalized patients identified as malnourished. However, the strength of this association varied depending on patient population and tool used to identify malnutrition. Evidence indicates malnutrition-focused hospital-initiated interventions likely reduce mortality and may improve quality of life compared to usual care among patients diagnosed with malnutrition. Research is needed to assess the clinical utility of measurement tools for malnutrition.
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