Myocardial infarction

A PMI located outside these landmarks indicates possible cardiac enlargement, such as with left ventricular hypertrophy. Cardiac enlargement is not necessarily associated with atherosclerosis or carotid artery disease. DIF: Cognitive Level: Apply (application) REF: 697 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 4. To auscultate for S3 or S4 gallops in the mitral area, the nurse listens with the a. bell of the stethoscope with the patient in the left lateral position. b.…

This synopsis will discuss the pre and post procedure nursing management and the rationale for a patient undergoing a cardiac catheter. A cardiac catheter is a procedure where a catheter is inserted into a vein or artery in the leg, arm or neck and is guided through the circulatory system until it reaches the heart (American Heart Association, 2010). This procedure allows for the cardiologist to measure cardiac output, identify defects in the valves, arteries and chambers of the heart as well…

(ACS), recent acute myocardial infarction (AMI) or stroke, and those with peripheral artery disease. Clopidogrel itself is a pro-drug that need to converse to active form through CYP2C19. This has led to significant concern that drugs inhibiting CYP2C19 (like PPIs) might reduce clopidogrel’s effectiveness. 1 Siller-Matula et al conducted a meta-analysis study to evaluate whether PPIs negatively affect clinical outcome (combined major adverse cardiac events, myocardial infarction, stent…

developed countries, ventricular dysfunction is a frequent problem, which can be a result from myocardial infarction (systolic dysfunction), hypertension (diastolic and systolic dysfunction) or both (Krum and Abraham, 2009). For children, the various causes of congestive heart failure differ slightly to adults. This condition can develop due to volume and pressure overload, cyanosis, primary myocardial disease with either or both ventricles, metabolic dysfunction, and genetic mutations. Patients…

Primary Angioplasty – A Life-saving Procedure Primary angioplasty is a term used to describe an angioplasty done as a life-saving emergency procedure in a patient with an on-going heart attack [PAMI - Primary Angioplasty in acute Myocardial Infarction]. The international accepted door to balloon time intervention is within 90 minutes and 3 to 6 hours from the onset of heart attack for PAMI. Doing angioplasty in a critical patient of heart attack is in itself challenging and doing so in the…

morbidity and mortality among low- and middle-income countries, accounting for almost 25% of total deaths (Kreatsoulas & Anand, 2010,p.1). Discharge from short-stay hospitals were greater in men than women for total heart disease and acute myocardial infarction. Blacks had the highest prevalence rate of hospitalization for stroke in the Medicare population (Mensah, 2005, p.5). Causing African American community to have a premature death rate higher than any other group. Some of the risk factors…

As you are looking at the ECG sheet, you might notice something abnormal about the R wave, which can be a: poor R wave progression, “a person has a myocardial infarction (MI), normal variant, and/or incorrect lead placement” (Life in the Fast Lane Medical Blog). In the dominant R wave in V1 results in, “right bundle branch block (RBBB), cardiomyopathy, hypertrophic and dextrocardia” (Life in the Fast Lane Medical…

describe the level of consciousness and to assess any brain problem or cognitive impairment. Patient with heart attack can suddenly changes their cognitive function due to insufficiency of oxygen supply and sudden changes of heart’s rhythms due to myocardial damage (Feldman, Hart, Lindsell, & McMullan, 2014). This is high priority nursing intervention. EXPOSURE: Her APTT and PT are both within the normal ranges. No indication of injury…

socioeconomic class—except other factors could play a role in one’s stress. Further analysis was made with differences in socioeconomic groups and disease/illness. For instance, a survey of 20,000 individuals, age 35, was conducted and found that myocardial infarction (heart attack), stroke were all more common among individuals living in lower income areas as compared with those living in higher economic areas (pg. 20). Socioeconomic position is also relate to early stages of developing…

creatinine was high with 2.0 mg/dL on day 1 and 1.8 mg/dL on day 2 (normal being 0.5-1.2 mg/dL). 2. Do the laboratory results rule out a myocardial infarction? According to Lewandrowski, Chen, and Januzzi (2002), blood testing for cardiac biomarkers plays a vital role in evaluating and diagnosing patients with chest pain and suspected myocardial infarction (MI). The most common clinically relevant cardiac biomarkers include nonspecific markers like lactate dehydrogenase (LD) and total…