Implantable cardioverter defibrillator storm: nursing care issues for patients and families.
Implantable cardioverter defibrillators (ICDs) are being used for primary and secondary prevention of life-threatening cardiac arrhythmias, and evidence suggests that increased use is likely in the future. ICD storm, the delivery of two or more shocks within 24 hours, occurs in 10% to 20% of patients who have ICDs and can have long-lasting psychological and physical consequences. An understanding of the factors associated with ICD storm, relevant assessment, and patient and family teaching and counseling can help clinicians to better meet the needs of patients who have experienced ICD storm.
O'Brien
Marian C
MC
Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road NE, Atlanta, GA 30322, USA. mcobrie@emory.edu
Langberg
Jonathan
J
Valderrama
Amy L
AL
Kirkendoll
Kenya
K
Romeiko
Nancy
N
Dunbar
Sandra B
SB
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003376:Counseling; D017147:Defibrillators, Implantable / Q000009:adverse effects* / Q000523:psychology / Q000639:trends; D004556:Electric Injuries / Q000209:etiology* / Q000451:nursing* / Q000523:psychology; D004867:Equipment Design; D004868:Equipment Failure; D005190:Family / Q000523:psychology*; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D009730:Nursing Assessment; D010353:Patient Education as Topic; D011322:Primary Prevention; D011788:Quality of Life; D012307:Risk Factors; D014693:Ventricular Fibrillation / Q000523:psychology / Q000628:therapy