This article describes the nursing experience of a patient who experienced a firstattack of acute myocardial infarction complicated with pulmonary edema. Thepatient received percutaneous transluminal coronary angioplasty (PTCA) immediately,and was then sent to the intensive care unit (ICU) for further treatment. In order toreduce the oxygen demand of heart tissue and hypoxic damage to the cardiac muscle,the patient needed absolute bed rest. During the caring period, from April 15, 2004to April 20, 2004, we collected information through clinical observation and interviews.According to the eleven criteria of Gordon and Nursing diagnosis, the patient hadineffective tissue perfusion, anxiety and knowledge deficit. Therefore, we observedthe patient's vital signs carefully and provided physiologic care to prevent complicationssuch as arrhythmia, cardiogenic shock, pulmonary edema and heart failure. Moreover,we properly utilized nursing intervention and support from family members to dealwith the patient's psychologic and physiological problems. The patient recoveredwell and was later transferred to a ward smoothly.