ÖZER, Serap Ege Üniversitesi Hemşirelik Yüksekokulu - Hemşirelik Yüksekokulu - İç Hastalıkları Hemşireliği Anabilim Dalı, Turkey , ARGON, Gülümser Ege Üniversitesi Hemşirelik Yüksekokulu - Hemşirelik Yüksekokulu - İç Hastalıkları Hemşireliği Anabilim Dalı, Turkey , GÜRGÜN, Cemil Ege Üniversitesi - Tıp Fakültesi - Kardiyoloji Anabilim Dalı, Turkey

THE EFFECT OF BODY TEMPERATURE VARIATIONS IN NON-ST SEGMENT ELEVATION ACUTE CORONARY SYNDROMES ON PATIENT OUTCOMES

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Objective: High body temperature as a response to myocardial necrosis in acute coronary syndromes (ACS) emerges as a clinical characteristic, commonly seen in the early phases of the syndrome, though its prognostic value remains unquestioned. Increasing body temperature is considered to be highly significant since it eventually increases the risk of cardiac failure and dysrhytmia. This particular study aims to analyze the effects of the changes in body temperature on patient outcomes (vital findings and clinical parameters) in acute coronary syndromes including unstable angina pectoris (UAP) and non-ST segment elevation myocardial infarction (NSTEMI). Material and Method: The study sample included 113 patient (mean age of 62.87±12.40, 35 women and 78 men). The body temperature, pulse, blood pressure, chest pain severity and CK, CK-MB levels of the patients were measured when the patient was first admitted to the coronary intensive care (CIC) unit and the results were noted in the chart along with the onset time of the chest pain and the measurement time. Afterwards, the data in the data collection form and other measurement data were collected when it was convenient for the patient. Besides, at the 24th and 48th hour of the chest pain, CK and CK-MB levels were tested again. Results: Statistically significant differences were found between the patients admission body temperature and their CK-MB level, between the first 24 hour body temperature and sistolic blood pressure, CK and CK-MB levels, between the second 24 hours body temperature and CK-MB level, and between CIC body temperature and sistolic blood pressure. Conclusion: In light of the results, it was found that the increases in body temperature potentially alter the vital findings of acute coronary syndrome patients with UAP and NSTEMI and affect the biochemical markers as the leading indicators of the infarct magnitude.

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Unstable Angina Pectoris , Non , ST Segment Elevation Myocardial Infarction , Body Temperature , Patient Outcomes

Journal Of Ege University Nursing Faculty

52