Cardiac Question #8
The nurse is caring for a patient with severe left ventricular dysfunction and understands the client is at risk for sudden cardiac death. The nurse anticipates which medical intervention?
- Insertion of an implantable cardioverter defibrillator
- Insertion of an implantable atrial pacemaker
- Administration of thrombolytic agents
- Cardioversion under light anesthesia
Clients who have reduced left ventricular ejection fraction (LVEF) and dysfunction (especially if they experienced MI) are at increased risk of sudden cardiac death (SCD). Implantable cardioverter defibrillators (ICD) provide significant survival benefit. Atrial pacemaker, thrombolytic agents, or cardioversion are not treatments for ventricular dysfunction and risk of sudden cardiac death.