Journals / Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi / 2005 / Cilt: 12 - Sayı: 1

Secondary Prevention in Acute Myocardial Infarction

Akut Miyokard İnfarktüsünde Sekonder Koruma

Pages
84–96
Publication Date
2005-03-01
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Nurse planned and managed secondary prevention programs are effective on changing lifestyle and decreasing risk factors.

📌 3 Key Takeaways

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Objective & Hypothesis:Recent studies on patients who had an acute myocardial infarction have shown that risk factors are decreased, atherosclerosis regressed, and re-infarction and mortality rates are reduced as a result of drug therapy in combination with the changes in the lifestyle.
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Key Findings & Data:This treatment called as secondary prevention, requires a behavioral change in the lifestyle that includes stopping smoking, making healthy food choices, and increasing physical activity.
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Conclusion & Impact:Nurse planned and managed secondary prevention programs are effective on changing lifestyle and decreasing risk factors.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Akut miyokard infarktüsü · sekonder koruma · yaşam tarzı

Abstract

Recent studies on patients who had an acute myocardial infarction have shown that risk factors are decreased, atherosclerosis regressed, and re-infarction and mortality rates are reduced as a result of drug therapy in combination with the changes in the lifestyle. This treatment called as secondary prevention, requires a behavioral change in the lifestyle that includes stopping smoking, making healthy food choices, and increasing physical activity. Risk factors related with lifestyle, which should be under control are hypertension, hypercholesterolemia, obesity and blood glucose level. Aspirin, lipid lowering drugs, ACE inhibitors, beta-blockers can be used as prophylactic drugs. Nurse planned and managed secondary prevention programs are effective on changing lifestyle and decreasing risk factors.

Özet

Akut miyokard infarktüsü geçiren hastalarda son yıllarda yapılan çalışmalarda yaşam tarzı değişikliği ve ilaç tedavisinin birlikte kullanılması sonucu risk faktörlerin azaldığı, aterosklerozisin gerilediği, yeni bir infarktüs ve ölüm oranının azaldığı gösterilmiştir. Sekonder koruma olarak adlandırılan bu tedavide yaşam tarzında yapılması gereken davranış değişikliği; sigarayı bırakmak, sağlıklı yeme alışkanlığını geliştirmek ve fiziksel aktiviteyi arttırmaktır. Yaşam tarzı ile ilişkili olan ve kontrol edilmesi gereken risk faktörleri; hipertansiyon, hiperkolesterolemi, obesite ve kan glukozudur. Kullanılabilecek proflaktik ilaçlar ise; aspirin, lipid düşürücü ilaçlar, ACE (Angiotensin-Converting Enzyme - anjiyotensin çevirici enzim) inhibitörleri ve betablokerlerdir. Hemşirelerin planlayıp uyguladığı sekonder koruma programları hastaların yaşam tarzının değiştirilmesinde ve risk faktörlerinin azaltılmasında önemlidir.

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Cite This Article

IRMAK, Y. Z., FESCİ, D. H. (2005). Secondary Prevention in Acute Myocardial Infarction. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, Cilt: 12 - Sayı: 1, 84–96. https://ajindex.com/articles/670115

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References (5)

  1. Libby P. Prevention and treatment of atherosclerosis. Harrison’s Principles of Internal Medicine 15th, Braunwald E et.al. Editörler, vol.1 Graw-Hill Companies inc. 2001, s.1382-1386. Rapaport E. Çeviren Z. Gereççi ve ark. Akut miyokard infarktüsünde ilaç tedavisi. Sendrom Ekim 1998;10(10): 102-111. Neil HAV ve Roe L. Randomised trail of lipid lowering dietary advice in general practice: the effects on serum lipids, lipoproteıns, and antioxıdants. British Medical Journal 1995; 310(6979): 569-573.
  2. Sebregts EHWJ, Falger PRJ, Bar FWHM. Risk mactor modification through nonpharmacological interventions in patients with coronary heart disease. Journal of Psychosomatic Research 2000; 48: 425- 441. Mayou R. Rehabilitation after heart attack. British Medical Journal 1996;313(7071):1498-1500. Shehu V. Sigaranın yaptığı hastalıklar. Sigara ve Gençlik, İ. Barış,editör. Kültür Bakanlığı. Ankara 1997. Meyers DG. Relative survival benefits of risk factor modifications. The Amercan Journal of Cardiology 1996; 77(1): 298-298. Foreyt JP ve Poston II WSC Reducing rısk for cardiovascular disease. Psycohotherapy 1996; 33(4): 576- 586. Chorzempa A ve Tabloski P. Post myocardial infarction treatment in older adult. The Nurse Practitioner 2001; 26(3): 36-51.
  3. Mukamal KJ, Maclure M, Muller JE, Sherwood JB, Mittleman MA. Prior alcohol consumption and mortality following acute myocardial infarction. JAMA 2001; 285(15): 1965-1970.
  4. Allison TG, Squıres RW, Johnson BD, Gau GT. Achieving national cholesterol education program goals for low-density lipoprotein cholesterol in cardiac patients: importance of diet, exercise, weight control, and drug therapy. Mayo Clin. Proc.1999; 74: 466-473. Grundy SM. Cholesterol management in the era of managed care. The American Journal of Cardiology 2000; 85(10): 3A-9A. Erdinçler DS ve Akan P. Yaşlıda hiperlipidemi. Sendrom mayıs1998; s. 41-46. Ades PA. Cardiac rehabilitation and secondary prevention of coronary heart disease. The New England Journal of Medicine 2001; 345(12): 892-902. Backer G. Evidence-based secondary prevention after myocardiol infarction. Acta Clinica Belgica 1999; 54(5): 293-298.
  5. McCarney R, Shapley M, Goodwin R, Croft P. The introducion of a routine monitoring system in primary care for patients with a first episode of cardiovascular disease. Journal of Advenced Nursing 2000; 31(6): 1376-1382. Mehta RH ve Eagle KA. Secondary prevention in acute myocardial İnfarction. BMJ 1998; 316: 838-842. Smith SC. The challenge of risk reduction