Abstract
Objective To explore the causes and nursing, protective measures of vasovagul reflexes (VVRs) induced by cardiac interventional diagnosis and therapy. Methods Between March 2005 and February 2007, clinical data of 16 patients (13 men, 3 women, mean age 55.0±16.3 years) with VVRs induced by cardiac interventional diagnosis and therapy were analyzed retrospectively and causes and nursing experience of VVRs were summarized. Results VVRs happened during vessel puncture, 1 to 3 hours before sheath removing, during sheath removing and 1 to 3 hours after sheath removing was 1 case, 3 cases, 7 cases and 5 cases, respectivel. VVRs was associated with pain (8 cases) , hypovolemia (6 cases) , mental strain (3 cases), and urine retention ( 1 case) . The symptoms of VVRs disappeared within 5 to 10 minuters and blood pressure and heart rate recovered normal after prompt venous transfusion and oxygen therapy, of which 13 cases were given atropine and dopamine by intravenous injection. Conclusion VVRs happened predominantly during sheath removing and 1 to 3 hours after sheath removing. The primary causes of Wits were pain and hypovolemia Multiform nursing interventions and intravenous injection atropine, dopamine should be taken to prevent and treat VVRs. Key words: Cardiac intervention; Vasovagal reflexes; Causes; Nursing care
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