Myocardial infarction

One of the potential reasons for the excess risk of myocardial infarction(MI) or angina is associated with stress. In john’s condition is that stress triggers the sympathetic never systems by releasing hormones such as adrenaline and noradrenaline. Increased sympathetic activity leading to increased blood pressure…

elevation ACS (NSTE-ACS) based on the initial electrocardio- gram(ECG) finding.4 ACS usually occurs as a sudden reduction in blood flow to the coronary arteries due to rupture of the atherosclerotic plaque, which subsequently leads to myocardial ischemia or/and infarction.1, 2, 3 The American Heart Association (AHA) predicts about 780,000 new cases per year of ACS in the United States with an estimation around 70% of NSTE-ACS and a 30% of STE-ACS.1, 4 The combination of ECG findings, cardiac…

are short and terminate spontaneously. They occur with equal frequency in anterior and inferior infarctions (Ashok et al. 2011). This arrhythmia results from either (1) Failure or structural damage of the SA or AV nodal pacemaker or enhanced vagal tone leading to depres-sion of nodal automaticity and function and an escape…

The completion of the VALUE trial has provided more data indicating the utility of valsartan for the treatment of hypertension patients. VALUE was a large, long-term trial aimed at determining whether lowering blood pressure with a valsartan based regimen would provide a reduction in cardiac-related morbidity and mortality when compared with an amlodipine based regime. The primary endpoint of the VALUE trial was time to the first cardiac morbidity or mortality event. The trial enrolled 15,245…

In a case report submitted by Misumi et al. (2010), a 79-year-old man reported with chest pain three days in a row, findings after some testing revealed he had elevated troponins and elevated ST segments on EKG. A 2D echocardiogram showed left ventricular apical akinesis with basal hyperkinesia. He had a coronary angiogram completed, and it showed no stenotic arteries, however they also injected ergonovine which appeared to cause a right coronary artery spasm. The patient was treated with…

Emergency While interacting with my mentor at a clinical day in the Acute Rehabilitation Unit (ARU), an Intensive Care Unit (ICU) nurse came through the department walking briskly. He exclaimed that there was a patient in ICU experiencing a myocardial infarction at that moment and a student was welcome to come and observe. With permission from my co-worker, I followed the nurse into the ICU to observe the interprofessional teamwork through this emergency. a) As you observed the…

poisoning. The dosage needed for an adult patient would be 2-5 mg IV/IM every 10-15 mins. Although atropine has no contraindications in an emergency setting, caution must be considered with patients who present signs and symptoms of acute myocardial ischemia or infarction. Another reason caution should be considered, is with patients with glaucoma because it raises intraocular…

The obesity rates have risen dramatically in the past 30 years resulting in nearly one-third of the world population classified as obese (Murray & Ng, 2016). Some of the more common health risks associated with obesity include cardiovascular disease, cancer, and diabetes. These conditions could, in fact, most likely be prevented through healthy diet and exercise. In 2007, Doctor Guy Berkenboom, professor of cardiology at the Erasme Hospital, Brussel, stated in an article in the Journal of…

undergone a PCI the probability of death or suffering an acute myocardial infarction was five times higher in the next five years than a similar angiographic severe lesion which is non-significant by FFR and treated medically(7). At two-year follow-up of the FAME study, in patients with multi-vessel coronary artery disease who underwent FFR-guided PCI with drug-eluting stents had a significant reduction in mortality and myocardial infarction compared to angiography-guided PCI group(12).…

disease are some diagnoses such as CAD, HTN, and angina or narrowing of coronary arteries causing pain (Heart Disease, n.d.). The purpose of this paper is to elicit information about coronary artery disease and hypertension related to being post myocardial infarction and how that can lead to congestive heart failure exacerbation. Demographics Mr. Jones is a 62 year old Caucasian male with…