Contemporary Nursing

Objective To analyze the comprehensive value of an emergency department predictive nursing model for patients with acute myocardial infarction (AMI) complicated by arrhythmia. Methods Sixty patients with AMI and arrhythmia admitted to the emergency department of our hospital from January 2025 to October 2025 were selected and equally divided into a control group and an observation group using a random number table. The control group received routine nursing care, while the observation group received predictive nursing care. Differences in cardiac function improvement indicators and rescue efficiency-related indicators were compared between the two groups. Results After nursing, the improvement in cardiac function indicators in the observation group was more favorable than that in the control group, with a statistically significant difference (P<0.05). The electrocardiogram (ECG) examination time, triage assessment time, and total rescue time in the observation group were all shorter than those in the control group, with statistically significant differences (P<0.05). The incidence of adverse events, including angina pectoris and re-infarction, was lower in the observation group (3.33% vs. 13.33%) than in the control group, showing a statistically significant difference (P<0.05). Conclusion The emergency department predictive nursing model significantly improves the rescue efficiency of patients with AMI and arrhythmia, plays a definite role in improving cardiac function and reducing the risk of adverse events, and leads to high overall patient benefit.

Acute myocardial infarction (AMI); Arrhythmia; Emergency department predictive nursing model; Cardiac function indicators; Total rescue time