Atrial fibrillation (AF) is the most common cardiac rhythm disorder. Ischemic stroke is the most important result of AF which is increasing prevalance with increasing age. The roles of nurses about AF can be classify by three titles: Screening for early detection of AF, primary prevention for patients of AF diagnosed and secondary prevention for patients with AF associated stroke. AF screen sever yout patient clinics and clinics in primary and secondary health care services where about 65 years and older patients. Nurses role for early detection of AF is crucial. Because nurses take vital signs beside theyare the health professionals whokeeps contact with the patients at most. Patients must be included primary prevention programme by cardiology nurse from the time of AF detection to be more competent in AF management. Patient education should essentially included etailed information about AF, drug effects, side effects of the medicine, thromboembolic complications and emergency sings. If occurence AF associated stroke, patient should be included secondary stroke prevention programme by neurology nurse. When the patient is eligible for health education, failure causes of primary prevention programme should be identified. Both nurse and patient should determine about solutions for identified problem. In this situation neurology nurse should educate patient about both secondary stroke prevention and stroke rehabilitation.

In recent years complementary and alternative treatment methods have been widely used in health care. Reflexology, one of these methods, is a method applied to the reflex points in the ear, hands and feet corresponding to all regions, organs and systems of the body with special hand and finger techniques. Reflexology is frequently used in various diseases and symptoms, and one of these diseases is the cardiovascular diseases. In studies conducted on the issue, reflexology appears to relive/reduce cardiovascular disease-related symptoms and risks, and to have safe, supportive, and positive effects. In this review, it was aimed to investigate the efficacy of reflexology as a supportive intervention in cardiovascular diseases and to inform nurses about this issue.

Coronary heart diseases are among the leading causes of morbidity and mortality in the World and in our country. Myocardial infarction develops suddenly in these diseases and it can affect the lives of individuals deeply because destructive advances. The purpose here is; avoid the first infarction, prevent recurrence and complication in patients. A positive lifestyle change should be given to the patient. It is known that changes in lifestyle reduce mortality and increase the quality of life. However, in recent years, only in-hospital training has shown that the illness does not provide adequate benefits. Patients can not understand the training adequately under the stress of what they are experiencing. Therefore, home based trainings are beginning to come on the agenda. It is targeted that home based education programs will provide continuing education in hospital and patients will benefit more from these education. The purpose of this article is to explain home based education and quality of life in myocardial infarction.

Cardiovascular diseases (CVD) are predicted to be the most frequent cause of death worldwide, with an increasing frequency of CVD, especially with increased risk factors. For this reason, detailed genetic data screening and identification of risk factors are becoming more and more important in the diagnosis and prevention of CVD. Genetic factors play an important role in all cardiovascular events. Therefore, the research on the determination of the genetic variations that can be used in the diagnosis of the disease has gained speed. Considering the advances in genetic discovery, genetic screenings will become integrated with standard practice in the near future. In this context, it is imperative that health professionals understand the basis of genetic disorders, their medical and ethical genetic applications. In this article, the relationship between cardiovascular diseases and genetic risk factors is compiled in the light of current literature.

Cardiovascular diseases are a major cause of mortality and morbidity in the world and in our country. 8 million people lost their lives in the world due to cardiovascular diseases in 2015. There are approximately 1.2 million coronary heart patients in Turkey and 130 of these patients are lost annually. Half of deaths due to coronary artery disease are caused by sudden stop of circulation and breathing. Cardiopulmonary arrest is defined as a sudden and unexpected arrest of respiration and / or circulation due to cerebral, myocardial ischemic damage and inadequate perfusion of vital organs. Cardiac arrest is potentially a reversible medical emergency if it is intervened early in some cases. Cardiopulmonary resuscitation (CPR) is a simple, but knowledgeable, experience that is given to the whole of urgent practice to ensure adequate respiration and circulation when pulmonary, cardiac, or cardiopulmonary arrest develops. The competence of nurses in CPR is an important factor in the successful outcome of cardiac arrest. Nurses must use their knowledge and skills to perform CPR at a safe and high quality that will increase patient survival after cardiac arrest. Since nurses are generally the first responders to clinical emergencies, a timely and appropriate approach to the patient with cardiac arrest is very important. Nowadays, simulation has become popular in nursing education, especially in training to raise qualified nurses, ensuring patient safety, improving clinical practice, teaching resuscitation and acquiring clinical decision making skills. In this review, nurses who have an important role in life saving in emergency care system are referred to the use of highfidelity simulation which is a new trend in acquiring knowledge and skills in CPR applications.

Objective: This study was conducted to determine the nursing diagnoses of nursing care plans of heart failure patients in coronary care unit (CCU) and to evaluate the compliance of these diagnoses with the North American Nursing Diagnosis Association (NANDA).
Methods: The sample of the study was consisted of nursing care plans of 189 patient who had been admitted to the CCU with diagnosis of heart failure between January 1, 2015 and January 1, 2016. This is a descriptive and retrospective study and data was presented as numbers and percentage distribution. The compliance of the diagnoses were determined according to the NANDA 2009-2011 diagnosis list.
Results: The mean age of the patients was 65,5±13,1 and number of the hospitalization days in the CCU was 7.3±6.9. Regarding the co-morbidities; the most diagnosed were diabetes (85.7%) and hypertension (58.2%). When the nursing diagnoses in the records were reviewed, a total of 30 different nursing diagnoses were detected. Of the 1053 diagnoses recorded, 90.4% (n=951) were found to be compliant with NANDA. The most frequently recorded nursing diagnoses were "risk of infection" (96.3%), "lack of self-care" (88.4%), "lack of knowledge" (85.2%) and "bleeding risk". However, seven diagnoses (hyperglycemia, hypoglycemia, hypertension, dysrhythmia, cardiac tamponade, embolism, and digoxin intoxication) were found to be non-compliant with NANDA.
Conclusion: This study revealed that the detected nursing diagnoses were highly compliant (90.4%) with NANDA. But, nursing care plans were not sufficient and some disease specific diagnoses were ignored.

Objective: This research has been planned in order to determine the CVD risk factors knowledge levels of the adults living in a family health center region and the affecting factors.
Methods: This descriptive study was carried out between March-April 2015 with 121 individuals aged 18 years and over who didn't have a CVD diagnosis, had nocommunication problems, volunteered to take part in the surveyand had their verbal permissiontakenfor a family center for any reason. A questionnaire consisting of 18 questionsincludinginformation on socio-demographic, health and disease characteristics of individuals in the information form and "Cardiovascula rDisease Risk Factors Knowledge Level (CARRF-KL) Scale" was used to determine the level of knowledge about CVD risk factors. Data were presented as numbers, percentages and averages, and independent t test and one-way analysis of variance were used. SPSS 22.0 package program was used to evaluation of the data.
Results: The averageage of the individuals are 40.68±13.63, 70.2% woman, 81.8% married, 46.4% have been received primary and pre-primary education, 38% of the mare over weight, during the gathering of the data it's found that 71.1% of the mare in the optimal limits, 77.7% of them never smoked, 57.9% of them not exercising regularly and 56.2% of them perceive their health status as moderate and bad. While nochronic diseases have been detected in the 69.4% of the participants, the presence of CVD has been observed in the family of the 55.4% of them. The average score of the CARRFKL of individuals was determined as 20.21±4.39 (min 8-max 27).
Conclusion: The total score of the CARRF-KL (0 -28) have been found to be higher and differing according to the score average of the knowledge level and the age, education status, body mass index and the presence of the chronic diseases in the individuals.

Objective: Acute coronary syndromes are one of the leading causes of morbidity and mortality in the world and in our country. The study was conducted to determine the quality of life and the factors affecting patients with acute coronary syndrome.
Methods: Research was done as descriptive. The study's universe consisted of all patients with acute coronary syndrome who were admitted to a university hospital and the sample consisted of 200 patients who were over 18 years old, conscious and open to volunteering. Patient presentation formand Rolls Royce Quality of Life Scale were used to collect the data. In the analysis of the data, descriptive statistics, t-test in independent groups, ANOVA were used.
Results: In the survey it was determined that the majority of the patients were male, married, primary school graduate, still working, middle income level. It was also found that the majority of the patients had chronic disease, unstable angina pectoris, previous treatment, not smoking and drinking alcohol, exercising regularly. In the study, it was found that the patients had Rolls Royce scale of 132.30 ± 24.42 points and the highest score was of the social interaction sub-dimension (24.46 ± 3.98). Patients were found to have higher quality of life scale rates for men, high school graduates, higher incomes, retired, living with their spouses, with myocardial infarction, and regularly exercising and the difference was found statistically significant.
Conclusion: We found that many factors negatively or positively affected the quality of life in acute coronary syndrome. Patients were found to have moderate quality of life. It is proposed to plan the approaches of the nursing leadership to protect and improve the quality of life of the patients.