{"title":"On the precipice of change","authors":"Aysha Mendes","doi":"10.12968/bjca.2022.0139","DOIUrl":"https://doi.org/10.12968/bjca.2022.0139","url":null,"abstract":"","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81983970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this month’s BANCC column, Nicola Bowers emphasises the importance of secondary prevention in acute coronary syndrome. Nicola is president elect of the BANCC and clinical academic nurse lead for integrated medicine at Buckinghamshire Healthcare NHS Trust.
{"title":"Bridging the gap of follow-up care for high-risk patients with established coronary artery disease","authors":"N. Bowers","doi":"10.12968/bjca.2022.0126","DOIUrl":"https://doi.org/10.12968/bjca.2022.0126","url":null,"abstract":"In this month’s BANCC column, Nicola Bowers emphasises the importance of secondary prevention in acute coronary syndrome. Nicola is president elect of the BANCC and clinical academic nurse lead for integrated medicine at Buckinghamshire Healthcare NHS Trust.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88257240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predicting sudden death in patients with hypertrophic cardiomyopathy","authors":"S. Palmer","doi":"10.12968/bjca.2022.0133","DOIUrl":"https://doi.org/10.12968/bjca.2022.0133","url":null,"abstract":"","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75405205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edith Donnelly, C. Cousins, Claire McGrady, Emma McMullan
This year, the Northern Ireland Heart Failure Nurse Forum relaunched with the aim of supporting, developing and promoting the essential role of heart failure specialist nurses in Northern Ireland. One of their first priorities was to host an educational meeting for their members, colleagues working in cardiac rehabilitation and cardiology nurses. This report summarises the content of the day, highlighting some topical issues in 2022.
{"title":"Report from the Northern Ireland Heart Failure Nurse Forum's educational meeting","authors":"Edith Donnelly, C. Cousins, Claire McGrady, Emma McMullan","doi":"10.12968/bjca.2022.0124","DOIUrl":"https://doi.org/10.12968/bjca.2022.0124","url":null,"abstract":"This year, the Northern Ireland Heart Failure Nurse Forum relaunched with the aim of supporting, developing and promoting the essential role of heart failure specialist nurses in Northern Ireland. One of their first priorities was to host an educational meeting for their members, colleagues working in cardiac rehabilitation and cardiology nurses. This report summarises the content of the day, highlighting some topical issues in 2022.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76130040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Care planning: improving population health and outcomes for patients with heart failure","authors":"Delyth Rucarean","doi":"10.12968/bjca.2022.0132","DOIUrl":"https://doi.org/10.12968/bjca.2022.0132","url":null,"abstract":"","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88837576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transcatheter aortic valve implantation is non-inferior to surgical aortic valve replacement in managing severe aortic stenosis. It has been the treatment of choice for patients who would be unsuitable for surgical aortic valve replacement. Patient selection and workup involves a rigorous process to ensure a successful outcome, and patient monitoring is crucial during and after the procedure. Nurses play an important role throughout these stages, so developing their understanding of the different processes involved in each step of the procedure is imperative. This article provides an overview of transcatheter aortic valve implantation, from patient selection and workup to peri-procedure, highlighting considerations for nurses across these stages. It includes the most relevant and recent literature on transcatheter aortic valve implantation for evidence-based nursing care, such as the monitoring of complications, early mobilisation and next-day discharge. Furthermore, it includes discussion of future considerations and research on transcatheter aortic valve implantation.
{"title":"Transcatheter aortic valve implantation: an overview for nurses","authors":"Asriel Juvenal Chamos","doi":"10.12968/bjca.2022.0093","DOIUrl":"https://doi.org/10.12968/bjca.2022.0093","url":null,"abstract":"Transcatheter aortic valve implantation is non-inferior to surgical aortic valve replacement in managing severe aortic stenosis. It has been the treatment of choice for patients who would be unsuitable for surgical aortic valve replacement. Patient selection and workup involves a rigorous process to ensure a successful outcome, and patient monitoring is crucial during and after the procedure. Nurses play an important role throughout these stages, so developing their understanding of the different processes involved in each step of the procedure is imperative. This article provides an overview of transcatheter aortic valve implantation, from patient selection and workup to peri-procedure, highlighting considerations for nurses across these stages. It includes the most relevant and recent literature on transcatheter aortic valve implantation for evidence-based nursing care, such as the monitoring of complications, early mobilisation and next-day discharge. Furthermore, it includes discussion of future considerations and research on transcatheter aortic valve implantation.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76633748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Bueser, J. Hargrave, Soraya Nuthoo, Adam Damianopoulos
Advances in techniques and reduced costs have led to increased use of genetics in cardiovascular care and, in particular, the field of inherited cardiac conditions. While there are specialist services for the diagnosis and management of these conditions, patients and family members are seen across cardiovascular services. Therefore, all nurses need to be aware of the various aspects of care required by these patients and have confidence in engaging in discussions around their genetic healthcare needs. This article is the first in a series about genetics. It provides information about basic genetic concepts relating to inherited cardiac conditions, the process and uses of genetic testing, the potential psychosocial impact and the key role of the nurse in genetic healthcare for patients and their families.
{"title":"Genetic concepts in inherited cardiac conditions","authors":"T. Bueser, J. Hargrave, Soraya Nuthoo, Adam Damianopoulos","doi":"10.12968/bjca.2022.0091","DOIUrl":"https://doi.org/10.12968/bjca.2022.0091","url":null,"abstract":"Advances in techniques and reduced costs have led to increased use of genetics in cardiovascular care and, in particular, the field of inherited cardiac conditions. While there are specialist services for the diagnosis and management of these conditions, patients and family members are seen across cardiovascular services. Therefore, all nurses need to be aware of the various aspects of care required by these patients and have confidence in engaging in discussions around their genetic healthcare needs. This article is the first in a series about genetics. It provides information about basic genetic concepts relating to inherited cardiac conditions, the process and uses of genetic testing, the potential psychosocial impact and the key role of the nurse in genetic healthcare for patients and their families.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88729507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fighting for nurses","authors":"Aysha Mendes","doi":"10.12968/bjca.2022.0130","DOIUrl":"https://doi.org/10.12968/bjca.2022.0130","url":null,"abstract":"","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89625780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mairead P Watson, M. Bennett, Conor Hamilton, L. Hill, O. McNally, K. Rogers
Postoperative atrial fibrillation is one of the most recognised complications of cardiac surgery. Although its exact pathophysiology remains unknown, evidence suggests that it is multifactorial and that it directly affects patient outcomes post cardiac surgery. It is associated with an increased risk of heart failure, renal failure, stroke and mortality. Pharmacological agents such as beta blockers and antiarrhythmic drugs are well established and extensively used for both the prevention and treatment of postoperative atrial fibrillation. This article will explore the pharmacological treatment of postoperative atrial fibrillation with specific reference to metoprolol and amiodarone, along with the pharmacokinetic and pharmacodynamic effects of both drugs. It will briefly discuss the evidence reviewed regarding the effectiveness of these drugs for postoperative atrial fibrillation and the recommendations from the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery on how postoperative atrial fibrillation should be treated.
{"title":"Rate vs rhythm: beta blockers and antiarrhythmics as pharmacological options for the treatment of postoperative atrial fibrillation","authors":"Mairead P Watson, M. Bennett, Conor Hamilton, L. Hill, O. McNally, K. Rogers","doi":"10.12968/bjca.2022.0070","DOIUrl":"https://doi.org/10.12968/bjca.2022.0070","url":null,"abstract":"Postoperative atrial fibrillation is one of the most recognised complications of cardiac surgery. Although its exact pathophysiology remains unknown, evidence suggests that it is multifactorial and that it directly affects patient outcomes post cardiac surgery. It is associated with an increased risk of heart failure, renal failure, stroke and mortality. Pharmacological agents such as beta blockers and antiarrhythmic drugs are well established and extensively used for both the prevention and treatment of postoperative atrial fibrillation. This article will explore the pharmacological treatment of postoperative atrial fibrillation with specific reference to metoprolol and amiodarone, along with the pharmacokinetic and pharmacodynamic effects of both drugs. It will briefly discuss the evidence reviewed regarding the effectiveness of these drugs for postoperative atrial fibrillation and the recommendations from the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery on how postoperative atrial fibrillation should be treated.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86684300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suzy Browne, David Smith, Daniel Adams, Sumesh Thiruthalil, A. Pottle, M. Bowers, I. McGovern, S. Mattison, Robert D. Smith, V. Panoulas, T. Kabir, Simson Davies, J. Shannon, E. Heng, H. Rahbi, N. Chandra, N. Patel, W. Banya, Utam Seehra, A. Tindale, R. Lane, T. Luescher, M. Dalby
Most transcatheter aortic valve implantation procedures are now performed under conscious sedation, rather than general anaesthetic. This study evaluated nurse-led conscious sedation, compared with anaesthetist-led sedation, to determine the feasibility of the former. Consecutive patients undergoing transcatheter aortic valve implantation under either nurse-led or anaesthetist-led sedation between July 2018 and September 2021 were reviewed. Assessed outcomes were analysed and compared, including 30-day mortality rate, major vascular access site bleeding, moderate or severe aortic regurgitation, stroke, new pacemaker implantation, duration of procedure and length of stay. A total of 212 patients who underwent nurse-led sedation and 412 who underwent anaesthetist-led sedation were identified. There were no significant differences in risk scores between the two groups. In both groups, incidence of conversion to general anaesthetic was low, with nurse sedatitionists seeking anaesthetist support in 13 (6.2%) cases. Cases with nurse-led sedation had a significantly lower average duration of the procedure (90 minutes vs 111 minutes; P=0.001) and length of stay (2 days vs 3 days, P=0.0002). Nurse-led sedation can be safely incorporated into transcatheter aortic valve implantation practice. Nurse-led sedation delivered similar outcomes to anaesthetist-led sedation, but with shorter procedural times and legnth of stay. This could allow more flexible scheduling, increased capacity and improved access for patients.
{"title":"Evaluation of nurse- and anaesthetist-led sedation for selected transcatheter aortic valve implantation procedures","authors":"Suzy Browne, David Smith, Daniel Adams, Sumesh Thiruthalil, A. Pottle, M. Bowers, I. McGovern, S. Mattison, Robert D. Smith, V. Panoulas, T. Kabir, Simson Davies, J. Shannon, E. Heng, H. Rahbi, N. Chandra, N. Patel, W. Banya, Utam Seehra, A. Tindale, R. Lane, T. Luescher, M. Dalby","doi":"10.12968/bjca.2022.0089","DOIUrl":"https://doi.org/10.12968/bjca.2022.0089","url":null,"abstract":"Most transcatheter aortic valve implantation procedures are now performed under conscious sedation, rather than general anaesthetic. This study evaluated nurse-led conscious sedation, compared with anaesthetist-led sedation, to determine the feasibility of the former. Consecutive patients undergoing transcatheter aortic valve implantation under either nurse-led or anaesthetist-led sedation between July 2018 and September 2021 were reviewed. Assessed outcomes were analysed and compared, including 30-day mortality rate, major vascular access site bleeding, moderate or severe aortic regurgitation, stroke, new pacemaker implantation, duration of procedure and length of stay. A total of 212 patients who underwent nurse-led sedation and 412 who underwent anaesthetist-led sedation were identified. There were no significant differences in risk scores between the two groups. In both groups, incidence of conversion to general anaesthetic was low, with nurse sedatitionists seeking anaesthetist support in 13 (6.2%) cases. Cases with nurse-led sedation had a significantly lower average duration of the procedure (90 minutes vs 111 minutes; P=0.001) and length of stay (2 days vs 3 days, P=0.0002). Nurse-led sedation can be safely incorporated into transcatheter aortic valve implantation practice. Nurse-led sedation delivered similar outcomes to anaesthetist-led sedation, but with shorter procedural times and legnth of stay. This could allow more flexible scheduling, increased capacity and improved access for patients.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79826063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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