급성심근경색 케이스 문헌고찰, 사례보고서 (진단2개, 과정2개)

본 내용은 " 급성심근경색 케이스 문헌고찰, 사례보고서 (진단2개, 과정2개) " 의 원문 자료에서 일부 인용된 것입니다. 2024.11.29

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• 1. Non ST elevation myocardial infraction, NSTEMI

  NSTEMI는 심전도 상 ST분절의 변화가 나타나지 않는 급성 심근경색으로, 혈전으로 인한 관상동맥의 부분 폐색으로 발생한다. NSTEMI는 STEMI보다 진행이 느리며 협착 정도가 심하더라도 측부순환이 형성된다. 주요 증상은 흉통, 호흡곤란, 오심/구토, 불안 등이며, 진단을 위해 심전도, 심근효소 검사, 혈액검사, 심초음파, 관상동맥조영술 등이 시행된다. 치료로는 응급의료, 섬유소 용해요법, 약물 치료, 관상동맥 중재술 등이 있으며, 부정맥, 승모판 역류증, 심실중격 결손 등의 합병증이 발생할 수 있다. 간호중재로는 증상 완화, 합병증 예방, 손상된 심근의 회복과 재발 방지, 재활 등이 필요하다.

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• 1. Non ST elevation myocardial infraction, NSTEMI

  Non-ST elevation myocardial infarction (NSTEMI) is a type of acute coronary syndrome that occurs when there is a partial blockage of a coronary artery, leading to a reduction in blood flow to the heart muscle. This condition is characterized by the absence of ST-segment elevation on an electrocardiogram (ECG), which is typically seen in ST-elevation myocardial infarction (STEMI). NSTEMI is a serious medical condition that requires prompt diagnosis and treatment to prevent further damage to the heart muscle and potentially life-threatening complications. The symptoms of NSTEMI can include chest pain, shortness of breath, nausea, and fatigue, and may be similar to those of other cardiac conditions, making it important for healthcare providers to perform appropriate diagnostic tests to confirm the diagnosis. The management of NSTEMI typically involves a combination of medications, such as antiplatelet agents, anticoagulants, and beta-blockers, as well as interventional procedures, such as percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG), depending on the severity of the condition and the individual patient's risk factors and comorbidities. Early recognition and appropriate treatment of NSTEMI are crucial to improving patient outcomes and reducing the risk of long-term complications, such as heart failure, arrhythmias, and recurrent myocardial infarction. Healthcare providers must be vigilant in monitoring and managing NSTEMI patients to ensure the best possible outcomes.