RESUMO
Cardiac transplantation is an excellent surgical option that offers positive results for many patients with end stage heart failure (Large 1995). However, the availability of donor hearts does not meet the demand, resulting in the exclusion of patients who, for example, are more than 60 years old and for whom transplantation is contraindicated. Dynamic cardiomyoplasty has been developed to help such a client group.
Assuntos
Cardiomioplastia/enfermagem , Cardiomioplastia/métodos , Humanos , Cuidados Pós-Operatórios , Cuidados Pré-OperatóriosAssuntos
Cardiomioplastia , Insuficiência Cardíaca/cirurgia , Cardiomioplastia/efeitos adversos , Cardiomioplastia/métodos , Cardiomioplastia/enfermagem , Contraindicações , Terapia por Estimulação Elétrica , Insuficiência Cardíaca/fisiopatologia , Insuficiência Cardíaca/terapia , Transplante de Coração , Humanos , Masculino , Pessoa de Meia-Idade , Músculo Esquelético/fisiologia , Seleção de Pacientes , Cuidados Pós-OperatóriosRESUMO
Historically, heart transplantation has served as the definitive treatment of choice for patients with end-stage heart failure. Unfortunately, heart transplantation is not available to all patients because of the scarcity of donor allografts and strict patient selection criteria. Dynamic cardiomyoplasty is an experimental alternative to heart transplantation for the treatment of severe congestive heart failure and dilated cardiomyopathy. The procedure involves the use of an autologous latissimus dorsi muscle graft that is wrapped around the ventricles by pericardial attachment. The muscle graft is then stimulated by specialized synchronous train impulses from a cardiomyostimulator; the resultant muscle graft contractions provide support for ventricular function. This article describes collaborative, preoperative, immediate postoperative, and long-term management of patients receiving dynamic cardiomyoplasty. As members of the health care team, nurses are in a unique position to develop care standards and facilitate multidisciplinary collaboration for the care of this complex patient population.
Assuntos
Cardiomioplastia/enfermagem , Cardiomioplastia/métodos , Humanos , Assistência de Longa Duração , Diagnóstico de Enfermagem , Equipe de Assistência ao Paciente , Cuidados Pós-Operatórios , Cuidados Pré-OperatóriosRESUMO
The number of patients with end-stage heart failure is rapidly increasing and traditional therapies are not able to effectively meet the demand. The health care profession continues to search for innovative alternative treatments and dynamic cardiomyoplasty is viewed as an option for patients in this population. Now this procedure is being offered through clinical trials at five sites in the United States, but this number will increase and nurses across the country will want to prepare to care for patients with this interesting and unusual procedure.
