Coronary Vascular Disorders: Atherosclerosis, Angina, Myocardial Infarction, Heart Failure, Dysrhythmias and Cardiac Surgery

Medical-surgical nursing notes on the management of patients with coronary vascular disease. Atherosclerosis is covered from its pathophysiology in the tunica intima and the modifiable risk factors to prevention, lipid-lowering drugs and management, then angina pectoris with its types, the PQRST assessment, nitroglycerin, beta-blockers and revascularisation. Myocardial infarction follows with the ECG and cardiac enzyme diagnosis, the immediate lifesaving regimen and the complications of dysrhythmia, heart failure and cardiogenic shock. Congestive cardiac failure is worked through left- and right-sided failure with digoxin, diuretics, ACE inhibitors and sodium restriction, and the deck ends on pericardial effusion and tamponade, the dysrhythmias with their ECG waves, antidysrhythmic drugs, cardioversion, defibrillation and pacemaker care, and pre- and post-operative cardiac surgery.