Hanna D L
Nurse Pract Forum. 1991 Mar;2(1):48-54.
Cardiac arrhythmias may present in a variety of ways in the primary care setting. They may or may not be accompanied by related symptoms. Rhythm disturbances span the continuum of posing no risk to the patient to being life-threatening. The importance of a thorough history and physical examination to detect the presence of cardiovascular disease or related factors cannot be overemphasized. An ECG is essential for the accurate identification of cardiac arrhythmias. Evaluation and management of cardiac rhythm disturbances often requires collaboration with medical practitioners and possible specialist referral. The primary care nurse practitioner must be able to recognize the important red flags in clinical practice such as cardiac syncope, ischemia, or failure. Finally, an understanding of the diagnostic and therapeutic measures used for arrhythmia evaluation and management will facilitate appropriate patient education, counseling, and follow-up.
在初级保健环境中，心律失常可能以多种方式出现。它们可能伴有或不伴有相关症状。节律紊乱的范围从对患者无风险到危及生命。全面的病史和体格检查对于发现心血管疾病或相关因素的重要性再怎么强调也不为过。心电图对于准确识别心律失常至关重要。心律失常的评估和管理通常需要与医生合作，并可能需要转诊至专科医生。初级保健护士从业者必须能够识别临床实践中的重要警示信号，如心脏性晕厥、缺血或心力衰竭。最后，了解用于心律失常评估和管理的诊断和治疗措施将有助于进行适当的患者教育、咨询和随访。
