Case Study On Myocardial Infarction

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The patient was admitted into a small, rural hospital at 1900 for an ongoing complaint of unrelieved indigestion. The patient, 48 year old male has a history of and is presently involved with smoking. After admission into the hospital it is ruled out that the patient underwent a rule out myocardial infarction with further testing involving a cardiac catheterization to be done after admission upon a separate medical center. The patient also presents to the hospital with a history of a high-fat diet resulting in a “beer belly” and large waist circumference, and the desire to be anywhere rather than the hospital. After further testing involving a cardiac catheterization, the patient is diagnosed with coronary artery disease, which was the underlying …show more content…
was admitted into a small, rural hospital at 1900 due to a complaint of ongoing and unrelieved “indigestion.” W.R., a 48 year-old plumber, has a 36-pack-year smoking history and a reported dietary history of high-fat food. The rule out diagnosis was a myocardial infarction. This patient shows signs of male pattern obesity including a large waist circumference, “beer belly” and also barrel chesting. Myocardial infarction will first be discussed, along with the effects of smoking, medications given, followed by the results of the cardiac catheterization.
Upon arrival to the hospital, immediate vital signs were taken. W.R. had a temperature of 98.2 degrees Fahrenheit (98.6 degrees Fahrenheit), blood pressure of 202/124 mmHg (120/80 mmHg), a heart rate of 106 beats/min (60-100 beats/min), and respiratory rate of 18 breaths/ min. (12-20 breaths/min). As W.R. presented to the hospital with vital signs outside of normal limitations including an increased blood pressure and respiratory rate, a history of smoking as well as a high-fat food diet, beer belly, and a large waist circumference, the physician’s ruled out the possibility of a myocardial infarction until further inspection and testing could be
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was ruled out with a diagnosis of a myocardial infarction, more tests would be run at a separate medical center that contains more laboratory and pharmacy resources when the heavy snowfall clears. The test the physician ordered is a cardiac catheterization in order to determine if there were additional problems other than the initial heart attack. A left heart catheterization is used to either diagnose coronary artery disease, or test the severity of the disease. This catheterization is also used to determine whether there are any diseases along the left ventricle of the heart. Right heart catheterization is used to determine oxygen saturation levels and also tests for pulmonary circulation. During a catheterization, a hollow tube is inserted into the femoral area and a guide wire is used to direct the tubing through the vessels until it is in the desired position of the heart. After the tube is inserted, pressure is tested along with a coronary angiography which is a dye inserted through the tube to locate any narrowing or blockages in the lumen of the vessel. (Cardiac

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