SHA 090. Adult congenital heart diseases, nursing care: Present and future challenges

Abstract

Haitham Jamil Kanan RN, BSN Clinical Instructor, Nursing Development and Saudization King Faisal Specialist Hospital and Research Center, Riyadh. Congenital abnormalities of the heart and cardiovascular system are reported in almost 1% of live births and the death rate has been decreased significantly over the past few decades because of a revolution in treating congenital heart defects. Advances in diagnosis and surgery have made it possible to fix or repair most defects, even those once thought to be hopeless. Many people with these defects are now reaching adulthood and living full, active lives. In 2008, more than 1 million people with congenital heart disease have survived to adulthood and many changes in their life style (independency from parents, studying, exercising, traveling, marriage, pregnancy, employment,. . .) should be addressed and attended. The main challenges for facilitating the required care for those patient populations are: Lack of specialist facilities. Large variety of conditions. Lack of the health care professionals who specialized in adult congenital heart diseases. As services expand to meet the needs of a growing adult population, this is a call for the demand for training and development of nurses specialized in adult congenital heart diseases. At the end of the presentation the a will be able to Identify: 1. The definition of adult congenital heart diseases. 2. Classification of ACHD. 3. Diagnostic procedures for patient with congenital heart diseases. 4. Complication of Congenital heart diseases. 5. Required knowledge/atitudes/skills for nurses and APN working with CHD patients populations. doi:10.1016/j.jsha.2011.02.091 SHA 091. The benefits of exercise training in improving cardiovascular fitness, in patients with known coronary artery disease, KACC Adrian Russel Carter, Manal Zeineddine, Tahany Mohammed, Samantha Van der Hulst, Rehda Abedalmonem, Stephanie Rush, Dr.Amani Elkrail King Abdulaziz Medical City-Cardiac Center, RN DIV/1, Riyadh, Saudi Arabia E-mail address: cartera@ngha.med.sa (A.R. Carter) Background: The benefits of Exercise Training (ET) has been widely documented and researched throughout the western world, and current physical activity recommendations for the general population have been well established. The effect of ET in secondary prevention of Coronary Artery Disease (CAD) in the Saudi population has not yet been documented. The lifestyle of the Saudi culture has been negatively influenced by multiple factors. Objective: To investigate whether exercise training aids in improving cardiovascular fitness. Method: A prospective observational pilot study, where 17 patients with CAD will undergo 12 weeks of individualized ET. The patients will undertake a 6 min walk test and a cardiac stress test which will be repeated upon completion of the program, the results will then be correlated. Results: After completion of the 12-week program, we expect to observe an increase in cardiovascular fitness along with an improvement in functional capacity. We also expect to observe a reduction in resting blood pressure, heart rate, weight, LDL, cholesterol and triglycerides along with an increase in HDL. Of the 17 patients the age range is 28–72 years, the mean age is 52 years; 6 patients are female and 11 are male. Final results will be available at the time of the Saudi Heart Association Conference. Conclusion: Once the data is collected and the results analyzed we anticipate ET will improve cardiovascular fitness and risk factors. doi:10.1016/j.jsha.2011.02.092 Abstract for SHA22 197