Transmyocardial Revascularization Surgery

Hayden, Ann M

doi:10.1097/00002727-199805000-00008

Cited by 2 publications

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“…Using a thoracotomy approach, a laser is used to create channels in targeted areas of viable myocardium, thereby promoting angiogenesis and the development of new collateral circulation. Potential postoperative complications include bleeding, tamponade, dysrhythmias, atelectasis, pain, valvular insufficiency, and heart failure 37,38 …”

Section: Pharmacologic Interventionmentioning

confidence: 99%

Heart Failure in Women

Halm

Penque

2000

Progress Cardiovascular Nurs

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Heart failure affects more than 5 million Americans. Each year, about 400,000 individuals develop heart failure, making it the nation's most rapidly growing cardiac problem. Almost one third of these individuals have New York Heart Association Functional Class III or IV heart failure and are faced with progressive clinical deterioration and frequent hospital admissions. These figures will continue to escalate as the population ages. The success of interventional procedures and pharmacologic therapies in the management of coronary artery disease has enabled this population to survive acute events, at the same time creating a population with chronic disease. Common etiologies of heart failure in women include coronary artery disease, myocardial infarction, and valvular disease. However, women are at especially high risk for developing heart failure due to diastolic dysfunction associated with hypertension and diabetes. Heart failure in women is best managed across the care continuum, incorporating pharmacologic agents, interventional procedures when appropriate, dietary restrictions, self-monitoring, and psychosocial support. Much of the recent literature has focused on women and heart disease. This emphasis is partly due to public misconception about women's health problems and the growing body of research distinguishing gender differences. Significant advances in therapy have been made to improve the quality and span of life for people with heart disease. Despite therapeutic advances, however, women have high mortality rates from heart disease, including heart failure due to ischemic causes. In fact, women with heart failure present differently than men and have different etiologies and treatment options. As we learn more about women and heart disease, the distinguishing differences unfold and become helpful in establishing a plan of care.

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Section: Pharmacologic Interventionmentioning

confidence: 99%

Heart Failure in Women

Halm

Penque

2000

Progress Cardiovascular Nurs

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Transmyocardial Laser Revascularization

Anderson

2000

Progress Cardiovascular Nurs

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Transmyocardial laser revascularization is an alternative treatment option for patients with refractory angina who are not suitable candidates for more conventional coronary intervention or surgery. The laser creates channels that provide blood flow from the left ventricular chamber to areas of ischemic myocardium. Results have been impressive with patients reporting a reduction in angina of two classes according to the Canadian Heart Association Angina Classification. Care of the patient post transmyocardial laser revascularization procedure is comparable to that of other cardiac surgery patients. Innovations in this relatively new procedure include less invasive approaches and using it as an adjunctive or delivery modality for gene therapy.

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Transmyocardial Revascularization Surgery

Cited by 2 publications

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Heart Failure in Women

Heart Failure in Women

Transmyocardial Laser Revascularization

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