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Treatment of myocardial infarction
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Recommended: Treatment of myocardial infarction
Name of deceased: Loretta Elizabeth Harris
Age: 51
Date of Birth: September 12, 1950
Date of Death: February 16, 2012
Place of Death: Residence
Cause of death: Acute myocardial infarction; Coronary artery disease
1. Etiology - Acute myocardial infarction is simply the medical term for a heart attack. Acute myocardial infarction occurs when the flow of blood to the heart is blocked causing tissue damage in the heart. This usually occurs within the coronary arteries. In this case,the patient suffered from coronary artery disease, which will be described later on in the text. Acute myocardial infarction is very serious and the patient should be taken to the hospital immediately. This blockage can cause major damage to the heart and could possibly
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Diagnosis – When diagnosing an acute myocardial infarction, the doctor will take a close look at family history which place a very important role in the individual’s health. If there is a history of high blood pressure or diabetes, then the chances of the patient experiencing another heart attack or very high. The doctor will also check for high blood pressure, high cholesterol levels, high triglyceride levels, obesity, and smoking habits. Age also plays an important factor when forming a diagnosis. The older the age of a person, the more likely they are to have experienced an acute myocardial infarction. The doctor will check for an irregular heart beat and perform a series of test to determine the severity of the heart attack. Some of these test may include: a stress test to study the reaction of the heart under difficult situations, an angiogram to search for blocked areas, and an echocardiogram to look for the areas of the heart that are struggling to work …show more content…
Treatment – There are many different ways to treat a heart attack. In many cases, the patient is suffering extreme pain and an angioplasty will be performed to help unblock the arteries of the heart. A catheter will be used and inserted into the heart to remove the blocked and regain blood flow back to the heart. Veins and arteries may need to be rerouted in order for the blood to flow properly and in this case, the doctor will perform a coronary artery bypass graft. Many different medications can also be used to treat a heart attack. Some of these medication include blood thinners such as aspirin to allow the blood to squeeze between the blockage in the arteries better. Thrombolytics are also a good medication that will dissolve clots in the blood. Clopidogrel is an antiplatelet drug to prevent a blood clot from ever existing. Nitroglyserin widens the otherwise narrow blood vessels allowing easier access for the blood to
According to “Heart Disease and Marfan Syndrome” (n.d.), if the disease is suspected, the doctor will perform a physical exam of the eyes, heart and blood vessels, and muscle and skeletal system. After, a history of symptoms and information about family members will be obtained to determine if you have it. A chest x-ray, an electrocardiogram, and an echocardiogram can also be used to evaluate the heart and blood vessels to detect heart rhythm problems. A transesophageal echocardiogram may also be used, along with an MRI, CT scan, or a slit lamp eye exam to check for dislocated lenses. The various symptoms of Marfan syndrome allow doctors to diagnose the condition and provide treatments that can help the
The facts in this case involve 2 patients. Firstly, Marguerite, an 89 year old female who experienced a myocardial infarction and the cause was unknown at the time of admission. Her doctor ordered an angiogram to test for the cause, and based on the results, would plan and provide treatment. On the other hand, Sarah, a 45 year old female, also experienced a massive heart attack, but in her case the emergency room doctors were able to determine the cause and expeditiously planned for treatment. Simultaneously, both patients required an immediate surgical procedure and time was a major consideration due to the nature of their
The purpose for the stent was to hold the coronary artery open to allow the blood to flow more freely.
It occurs because of repetitive electrical activity. This can occur in a patient with early or late heart failure, because there is damage to the heart tissue and the heart beats faster to try to supply the body with blood. Recommended treatment is elective cardioversion. Drugs used include an antidysrhythmic such as Mexitil or Sotalol (Ignatavicius &Workman, p. 728-729).
There are four different categories of treatment: lifestyle changes, surgical procedures, non-surgical procedures, and medications. Lifestyle changes include having a healthy diet; increasing physical activity; eliminating cigarettes, alcoholic beverages, and illicit drugs; and getting enough rest and sleep; losing excess weight. These lifestyle changes are to lower the patient’s blood pressure, cholesterol, and reducing any other future medical conditions. There are also surgical options to help cure, prevent, or control cardiomyopathy. Surgical method include a septal myectomy, surgically implanted devices, and a heart transplant. A septal myectomy is used to specifically treat hypertrophy cardiomyopathy which is where the heart muscle cells enlarge and cause the walls of the ventricles to thicken. The thickening of the walls may not affect the size of the ventricles but instead may affect the blood flow out of the ventricle. Usually along with the ventricles swelling, the septum in between the ventricles can become enlarged and block the blood flow causing a heart attack. When medication is not working well to treat hypertrophic cardiomyopathy, a surgeon will open the chest cavity and remove part of the septum that is blocking blood flow. Surgically implanted devices include a pacemaker, a cardiac resynchronization therapy device, a left ventricular assist device, and an implantable
Heart disease is one of the most common causes of the mortality and morbidity in most well developed countries. They come in different forms such as stroke and other cardiovascular diseases and it’s the number one cause of death in the state of America. In the year 2011 alone nearly 787,000 people were killed as a result of this epidemic. And this included Hispanic, Africans, whites and Americans. As for the Asian Americans or pacific Islanders, American Indians and the natives of Alaska, the concept to them was a second only to cancer. However, statistics has proved that a person gets heart attack every 34 seconds and in every 60 seconds, someone dies out of it which include other related event. Additionally, majority of the women are the
After review of the clinical information provided by North Central Bronx Hospital, the Medical Director has denied your admission to North Central Bronx Hospital. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 56 year old female with complaints of worsening pressure-like chest pain on the left sided that radiated to your left arm and neck. The symptoms began when you were at rest and woke you from your sleep. Based on the Interqual guideline (a decision based program to determine medical need) criteria to for acute coronary syndrome the clinical guidelines were not met because troponins were negative, there was no diagnostic testing such as a stress test, or documentation of ischemia in the clinical information that was submitted.
...lood Vessel Stents.” 1-3). Bypass surgery is another option; a blood vessel from somewhere in the body is used to go around the blocked artery. This completely bypasses the blocked artery, so it no longer becomes an issue. Thrombolytic therapy is a method that involves injecting a medication into the artery that will dissolve the clot and allow blood to pass freely through the artery (“Peripheral Artery Disease.” 3).
The preliminary step in myocardial infarction is atherosclerosis. Atherosclerosis does not occur abruptly, it is a gradual and dynamic inflammatory disease which causes the narrowing of lumen due to the deposition of lipid and foam cells. The formation of fatty streak; which will eventually become a plaque causes the vessel lumen to diminish. The plaque will become unstable, rupture and eventually lead to the event of plaque disruption.
This assignment is a case study that aims to explore the biospychosocial impacts of a myocardial infarction on a service user. It will focus on the interventions used by healthcare professionals throughout the patient’s journey to recovery. To abide by the NMC’s code of conduct (2015) which states that all nurses owe a duty of confidentiality to all those who are receiving care, the service user used in this case study will be referred to as Julie. Julie is a 67 year old lady who was rushed to her local accident and emergency following an episode of acute chest pain and was suspected to have suffered from a myocardial infarction. Julie who lives alone reported she had been experiencing shortness of breath and
759. Mr. Miller is likely presenting with an acute myocardial infarction. Based on his past medical history of hypertension, hyperlipidemia, obesity, and diabetes, along with his current symptoms of chest pain, shortness of breath, pale skin with beads of sweat on the forehead, as well as elevated lab 's Troponin, CK, and CK-MB, he is most likely presenting with an acute myocardial infarction.
Heart attacks are known in the medical community as myocardial infractions. Some of the most common symptoms or warning from a heart attack may include chest discomfort due to an uncomfortable pressure, fullness, squeezing or pain in the center of the chest (angina). Another symptom is the discomfort in other areas of the upper body because of pain or discomfort in one or both arms, the back, neck, jaw or stomach. The next one is shortness of breath with or without chest discomfort. Lastly, there are other signs such as nausea, dizziness, lightheadedness or cold sweat. There are some cases when these symptoms are not present or the person is considered to be healthy and a heart attack can strike without any warning sings. (Causes,
Alcohol consumption will need to be discontinued, especially if this is a cause. Moderate exercise should be encouraged within the limitations of the patient (Bennett). Medical treatment is generally aimed at relieving symptoms of heart failure and improving cardiac output. Patients are often given medications such as ACE inhibitors and Beta-blockers. Antiarrhythmic drugs, implantable defibrillators, and pacemakers are other treatments used for dilated cardiomyopathy patients. Anticoagulants are also an important treatment for dilated cardiomyopathy patients due to the increased risk of developing thrombus from poor systolic function, atrial fibrillation, and poor circulatory flow. Cardiac transplantation is another treatment option but heart donors are very limited (Lily).
Oxygen was first admitted to the client with chest pain over 100 years ago (Metcalfe, 2011). Chest pain is a large bracket that can contain many different conditions, but for the purpose of this analysis it is focused manly upon a myocardial infarction. A myocardial infarction is mainly referred to as a heart attack, and occurs when one or more coronary arteries leading to the heart reduce or completely stop blood flow (Tuipulotu, 2013 ). Administering high concentrations of oxygen to patients with chest pain is now embedded in guidelines, protocols and care pathways, even with a lack of clear supporting evidence (Nicholson, 2004 ). High concentration of oxygen means that up to 60% is administered (Knott, 2012). More recent research has suggested that the use of oxygen in this scenario is unnecessary and can lead to unwanted side effects, especially in normoxic cardiac patients (Moradkham & Sinoway, 2010 ). The aim of this comparative analysis is to dismantle and understand both the benefits and risks of the commonly known practice of administration of oxygen to the client with chest pain. Through completing this analysis using recent and appropriate evidence a more improved practice can be given and understood.
...heart attack. Heart Disease can refer to an assortment of diseases affecting the heart. A heart attack happens when heart muscle is destroyed or hurt due to not getting enough oxygenated blood to maintain life. Different examples of Heart Disease include Cardiomyopathy, Cardiovascular Disease, Hypertension, and Ischemic Hear Disease.