A 50-yeae-old male calls the paramedics after experiencing an episode of chest pain while shoveling snow....
A 50-yeae-old male calls the paramedics after experiencing an episode of chest pain while shoveling snow. He describes his pain as a crushing, tight feeling that radiates to the left arm and jaw. What type(s) of heart disease is the patient experiencing (explain)? What diagnostic test would you expect the physician to order and why? What is the treatment?
Homework Answers
The patient is having Angina .A crushing chest pain is often seen in Ischemic heart disease. Here thrrs is inadequate supply of blood to the myocardium .When there is lack of blood supply, there is lack of oxygen leading to death of cells leading to ischemia.
Diagnostic test
- ECG:basic test to assess the heart rate and rhythm
- Blood investigations
- Cardiac profile : The following levels are elevated
- Trop T
- Trop I
- Creatinine phosphokinase MB
- BNP,NT Pro BNP
- Lipid profile to assess the elevation of cholesterol levels
- Cardiac profile : The following levels are elevated
- Cardiac catheterization to rule out any block
- Coronary angiography to rule out block
Treatment
- Anti angina drugs (nitrates) to relieve pain
- Beta blocker and calcium channel blockers to reduce increased blood pressure
- Anti lipidemic drug can be used to reduce the elevated cholesterol levels
- Anticoagulant prevent clotting
- Angioplasty or coronary stent to remove the blocks in the arteries
- Surgical option of CABG is last to relieve the cause of disease
- Other:Regular exercise, stress free, proper diet ,no smoking alcohol, periodic health checkups.
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