Nursing approach to myocardial infarction
DOI:
https://doi.org/10.18203/2320-6012.ijrms20253216Keywords:
Myocardial infarction, Nursing management, Cardiac rehabilitation, Nursing interventions, Cardiovascular careAbstract
Myocardial infarction (MI) is still a primary cause of death and disability globally, needing early, professional, and comprehensive healthcare measures. Nurses have an important role in all phases of MI treatment, from emergency response and acute clinical management to rehabilitation, education, and long-term follow-up. This study focuses on nurses' numerous tasks, which include fast evaluation, ECG monitoring, medication administration, emotional support, patient and family education, and multidisciplinary care coordination. Nurses in critical care settings help to prevent problems while also contributing considerably to quality improvement and evidence-based procedures. Nurse-led cardiac rehabilitation and follow-up clinics have shown improved outcomes and decreased recurrence. Furthermore, nurses promote patient autonomy, make ethical decisions, and participate in cardiovascular research. Addressing issues including intense workload, fatigue, and patient nonadherence is critical to improving nursing care. Following a MI, a thorough, patient-centered, and evidence-informed nursing strategy is required to improve survival, improve rehabilitation, and promote lifestyle modification.
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References
World Health Organization. Cardiovascular diseases (CVDs). Geneva: WHO; 2021. Available at: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds). Accessed on 10 July 2025.
Kumar V, Abbas AK, Aster JC. Robbins and Cotran Pathologic Basis of Disease. 10th ed. Philadelphia: Elsevier. 2020.
Lewis SL, Dirksen SR, Heitkemper MM, Bucher L, Harding MM. Medical-Surgical Nursing: Assessment and Management of Clinical Problems. 11th ed. St. Louis: Mosby. 2020.
Cicolini G, Comparcini D, Simonetti V. Nursing management of the patient with myocardial infarction. Prof Inferm. 2015;68(3):165-72.
Amsterdam EA, Nanette KW, Ralph GB, Donald EC Jr, Theodore GG, David RH Jr, et al. 2014 AHA/ACC Guidelines for Non-ST-Elevation Acute Coronary Syndromes. J Am Coll Cardiol. 2014;64(24):e139-228.
Thygesen K, Joseph SA, Allan SJ, Bernard RC, Jeroen JB, David AM, et al. Fourth Universal Definition of Myocardial Infarction. Eur Heart J. 2019;40(3):237-69. DOI: https://doi.org/10.1093/eurheartj/ehy856
Macrae J. Pain management in acute coronary syndrome. Nurs Times. 2017;113(2):32-4.
Roffi M, Carlo P, Jean-Philippe C, Christian M, Marco V, Felicita A, et al. ESC Guidelines for acute coronary syndromes without ST-elevation. Eur Heart J. 2016;37(3):267-315. DOI: https://doi.org/10.1093/eurheartj/ehv320
Deaton C, Froelicher ES. The Nursing role in preventing recurrent coronary events. Eur J Cardiovasc Nurs. 2015;14(4):275-6.
Lane D, Carroll D, Ring C, Beevers DG, Lip GY. Anxiety and depression after myocardial infarction effects of depression and anxiety. Psychosom Med. 2001;63(2):221-30. DOI: https://doi.org/10.1097/00006842-200103000-00005
Fletcher GF, Ades PA, Kligfield P, Arena R, Balady GJ, Bittner VA, et al. Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation. 2013;128(8):873-934. DOI: https://doi.org/10.1161/CIR.0b013e31829b5b44
Heran BS, Jenny MC, Shah E, Tiffany M, Neil O, Karen R, et al. Exercise-based rehab for CHD. Cochrane Database Syst Rev. 2011;(7):CD001800.
Clark AM. Nurse-led secondary prevention programs. J Cardiovasc Nurs. 2012;27(5):E1-12.
Thomas RJ, Alexis LB, Theresa MB, LaPrincess CB, Todd MB, Daniel EF, et al. Home-based cardiac rehab. J Am Coll Cardiol. 2019;74(1):133-53. DOI: https://doi.org/10.1016/j.jacc.2019.03.008
Lachman VD. Ethical challenges in cardiac care. Medsurg Nurs. 2009;18(1):31-4.
Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of Nursing. 10th ed. St. Louis (MO): Elsevier; 2021.
Riegel B, Moser DK, Buck RG, Dickson VV, Dunbar SB, Lee CS, et al. Self-care of chronic cardiovascular disease: a scientific statement for healthcare professionals. J Am Heart Assoc. 2017;6(9):e006997. DOI: https://doi.org/10.1161/JAHA.117.006997
Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2018;39(2):119-77. DOI: https://doi.org/10.5603/KP.2018.0041
Thompson PD, Arena R, Riebe D, Pescatello LS. ACSM’s new preparticipation health screening recommendations from ACSM’s guidelines for exercise testing and prescription. Curr Sports Med Rep. 2013;12(4):215-7. DOI: https://doi.org/10.1249/JSR.0b013e31829a68cf
O’Gara PT, Kushner FG, Ascheim DD, Casey DE Jr, Chung MK, de Lemos JA, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction. J Am Coll Cardiol. 2013;61(4):e78-140. DOI: https://doi.org/10.1016/j.jacc.2012.11.019
Thomas RJ, King M, Lui K, Oldridge N, Piña IL, Spertus J. AACVPR/ACC/AHA 2010 update: performance measures on cardiac rehabilitation. J Am Coll Cardiol. 2010;56(14):1159-67. DOI: https://doi.org/10.1016/j.jacc.2010.06.006
Thombs BD, Bass EB, Ford DE, Stewart KJ, Tsilidis KK, Patel U, et al. Prevalence of depression in survivors of acute myocardial infarction. J Gen Intern Med. 2006;21(1):30-8. DOI: https://doi.org/10.1111/j.1525-1497.2005.00269.x
stin F, Carroll DL, Ruppar T, Uchmanowicz I, Chan CWM, Domeyer P, et al. A core curriculum for the continuing professional development of nurses caring for people with cardiac disease. Eur J Cardiovasc Nurs. 2015;14(1):16-22.