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Enfermería en Cardiología

Enfermería en Cardiología

SEPTIEMBRE 2021 N° 84 Volumen 31

Suicide ventricle, a paradox

Section: Casos clínicos

Authors

Gemma López Domènech1, Sara Martínez Font2, Ana Carmen Burgués Miró1, Judith Prats Barrera1, Elena Querol Vallés1

Position

1RN, MSN. UCI Cirugía cardiovascular, Hospital Clínic de Barcelona.2TCE. UCI Cirugía cardiovascular, Hospital Clínic de Barcelona.

Contact address

Gemma López Domènech. Institut Clínic Cardiovascular. Hospital Clínic Barcelona. C/ Villarroel, 170. 08036 Barcelona

Contact email: gemmalopez15@gmail.com

Abstract

Percutaneous aortic valve implantation offers a therapeutic option for patients with severe aortic stenosis who are not candidates for surgery. An infrequent and serious complication in patients with severe ventricular hypertrophy is the development of an intraventricular gradient, also known as suicide ventricle.

We present a case report of a woman with severe aortic stenosis and a history of anxiety-depressive syndrome admitted to the intensive care unit after a percutaneous aortic valve implantation. In the immediate postoperative period, she presented symptoms compatible with a suicidal ventricle, and urgent assessment was carried out in order to respond to both medical and nursing diagnoses derived from the situation.

On the 4th day, the patient presented with complete atrioventricular block requiring cardiopulmonary resuscitation manoeuvres and subsequent implantation of a permanent pacemaker. A second assessment prioritized, among others, the nursing diagnoses of impaired resilience and acute pain secondary to resuscitation manoeuvres. Planned activities enabled us to control her pain and to improve her resilience.

Prior to transfer to the hospitalization unit, a new assessment showed an improvement in almost all functional patterns. The priority interventions were aimed at improving her tolerance to stress and building her resilience.

The nursing assessment was carried out, following the functional patterns of Marjory Gordon, in three different phases of the care process. In each phase a care plan was drawn up following the NANDA-NIC-NOC methodology.

Keywords:

TAVI; cardiology; nursing care; aortic stenosis; valve prosthesis

Versión en Español

Título:

Ventrículo suicida, una paradoja

Artículo completo no disponible en este idioma / Full article is not available in this language

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