eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 1: 86 - 88

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.01.014

Critical Care Research

Risk assessment and nursing care for a patient with cardiac progressive conduction disease undergoing interventional therapy

  • FENG Jia ,
  • YE Lin ,
  • SHAO Cuimei ,
  • YAO Meiqi ,
  • YAO Xiaofang ,
  • PENG Dan ,
  • XU Yiping ,
  • SONG Jianping
Expand
  • Nursing Department， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China

Received date: 2025-03-06

  Online published: 2026-01-06

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Abstract

To summarize the perioperative nursing experience for a patient with cardiac conduction disease who underwent subcutaneous implantable cardioverter defibrillator（S-ICD） implantation. Key nursing points included risk management of malignant arrhythmias and application of a dedicated nursing instruction card，effective management of complex vascular access and prevention of thrombosis and infection risks，dynamic assessment and refined planning for intra-hospital transfer，combined pharmacological and relaxation training for post-operative pocket pain，programming optimization and psychological cognitive intervention for inappropriate shock. After 20 days of personalized and meticulous care，the patient safely navigated the perioperative period.

Key words： Vascular Access Devices; Defibrillator; Implantable; Progressive Cardiac Conduction Disease; Arrhythmias; Cardiac; Critical Care Nursing

Cite this article

FENG Jia , YE Lin , SHAO Cuimei , YAO Meiqi , YAO Xiaofang , PENG Dan , XU Yiping , SONG Jianping . Risk assessment and nursing care for a patient with cardiac progressive conduction disease undergoing interventional therapy[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(1) : 86 -88 . DOI: 10.3761/j.issn.2096-7446.2026.01.014

References

[1] 李华俊, 潘小宏. 进行性心脏传导障碍性疾病分子遗传和基因研究进展[J]. 心电与循环, 2020, 39(3):300-303,309.
  Li HJ, Pan XH. Advances in molecular genetics and gene research of progressive cardiac conduction disorders[J]. J Ele-ctrocardiol Circ, 2020, 39(3):300-303,309.
[2] 孙辉, 金春林, 刘昕, 等. 植入型心律转复除颤器对比药物管理一级预防心脏性猝死的成本效果分析[J]. 中华心律失常学杂志, 2024, 28(4):339-344.
  Sun H, Jin CL, Liu X, et al. Cost-effectiveness analysis of im-plantable cardioverter-defibrillators versus medical management for primary prevention of sudden cardiac death[J]. Chin J Card Arrhythm, 2024, 28(4):339-344.
[3] Cortés OL, Parra YM, Torres DA, et al. Evaluation of indicators of a vascular access device program led by nursing profes-sionals in a high-complexity university hospital in Colombia[J]. Invest Educ Enferm, 2022, 40(1):e12.
[4] Glikson M, Nielsen JC, Kronborg MB, et al. 2021 ESC Guide-lines on cardiac pacing and cardiac resynchronization therapy[J]. Europace, 2022, 24(1):71-164.
[5] 中华医学会心电生理和起搏分会, 中国医师协会心律学专业委员会. 全皮下植入型心律转复除颤器中国专家共识(2023)[J]. 中华心律失常学杂志, 2023, 27(5):376-389.
  Pacing and Electrophysiology Branch of Chinese Medical Association, Arrhythmias Committee of Chinese Medical Doctor Association. Chinese expert consensus statement on subcuta-neous implantable cardioverter-defibrillator(2023)[J]. Chin J Card Arrhythm, 2023, 27(5):376-389.
[6] 毛越, 李梅, 杨丹燕, 等. 1例左室心肌致密化不全合并胰岛素自身免疫综合征患者的护理[J]. 中华护理杂志, 2025, 60(4):464-468.
  Mao Y, Li M, Yang DY, et al. Nursing care of a patient with left ventricular myocardial insufficiency complicated with insu-lin autoimmune syndrome[J]. Chin J Nurs, 2025, 60(4):464-468.
[7] Ng M, Mark LKF, Fatimah L. Management of difficult intrave-nous access:a qualitative review[J]. World J Emerg Med, 2022, 13(6):467-478.
[8] 耿可, 王华芬, 俞超, 等. ICU成人患者静脉血管通路装置评估与选择的最佳证据总结[J]. 护理学杂志, 2024, 39(14):54-58,74.
  Geng K, Wang HF, Yu C, et al. Best evidence summary for assessment and selection of vascular access devices in ICU adult patients[J]. J Nurs Sci, 2024, 39(14):54-58,74.
[9] 王千米, 方良玉, 马雅敏, 等. 胰岛素自身免疫综合征合并恶性心律失常患者的护理[J]. 护理与康复, 2024, 23(8):89-92.
  Wang QM, Fang LY, Ma YM, et al. Nursing care of patients with insulin autoimmune syndrome complicated with malig-nant arrhythmia[J]. J Nurs Rehabil, 2024, 23(8):89-92.
[10] 周淑玫, 邓恒. 放松训练联合疼痛管理对甲状腺癌腔镜术后患者疼痛程度及睡眠质量的影响[J]. 世界睡眠医学杂志, 2024, 11(7):1549-1551.
  Zhou SM, Deng H. Effect of relaxation training combined with pain management on pain intensity and sleep quality in patients after thyroid cancer laparoscopic surgery[J]. World J Sleep Med, 2024, 11(7):1549-1551.
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