Perioperative care of severe heart failure patients treated with cardiac resynchronization therapy

Objective: To investigate the perioperative nursing experience of severe chronic heart failure patients treated with cardiac resynchronization therapy( CRT) or cardiac resynchronization therapy-cardioverter defibrillator( CRT-D). Methods: The data of the preoperative,intraoperative and postoperative nursing in 8 chronic heart failure patients treated with CRT or CRT-D were retrospectively analyzed. Results: The operations in 5 patients treated with CRT,2 patients treated with CRT-D and 1 patient treated with CRT-D were unsuccessful,and then treated with implantable cardioverter defibrillator ICD were successful. Compared with before treatment,the cardiac function and ejection fraction of all cases were improved after treatment( P 0. 01). The QRS wave becoming narrow and no cardiac tamponade,electrode dislocation and incision non-healing in all patients were found,the acute left heart failure in 1 case and incision blood effusion in 1 case were found. Conclusions: The CRT or CRT-D for treating chronic intractable heart failure is an effective means,the perioperative good care is an important means to get better effects.