As ações do enfermeiro na assistência ao infarto agudo do miocárdio com supradesnivelamento do segmento ST baseadas em diretrizes clínicas

Abstract

Introduction: Cardiovascular diseases are the leading cause of death worldwide. Among the cardiovascular diseases, the acute myocardial infarction with ST elevation is one of the most recurring relevant and serious, leading the patient to seek emergency services. The nurse, usually the first contact of the patient in the emergency room, must have technical, practical and scientific knowledge for a good quality practice. Decision making for nurses is critical to patient care and, therefore, the nurse’s role must be clear. Goal: Establish recommendations for nursing care with patients suffering acute myocardial infarction based on guidelines. Methodology: Secondary review of scientific literature on the modality called integrative review on evidence-based practice by the GRADE system. The study sample was found by searching websites of specific guidelines: Brazilian, American and European management of acute myocardial infarction with ST-segment elevation. Results: The general recommendations and recommendations assigned to nurses were quantified and analyzed by level of evidence and strength of recommendation using the GRADE system. Final Considerations: Conclusion of the severity of AMI ST and the need to establish specific recommendations for nurses to optimize quality of care provided to patients with myocardial infarction.