Question

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Cardiovascular case study

Ms. X., aged 55 years, has been complaining of severe fatigue and "indigestion." Her son is quite concerned and decides to take her to the emergency department. On arrival she appears very anxious, and her facial skin is cool and clammy; her blood pressure is 90/60, and the pulse is around 90, weak, and irregular. She is given oxygen, an intravenous line is opened, and leads for ECG are attached. Blood is taken for determination of serum enzymes and electrolytes. Tentative diagnosis is myocardial infarction involving the left ventricle. Her son provides information that indicates Ms. X is a long-time smoker, has a stressful job as a high school teacher, is recently separated after 20 years of marriage, and is fearful of losing the family home. She has also seemed to be more fatigued and stopped going to the gym about 18 months ago. She has begun to rely on "fast foods" like pizza and fried chicken and cooks infrequently. Her father had died of a heart attack at age 50. She had also noticed more fatigue and intermittent leg pain when walking or climbing stairs at work. Generalized atherosclerosis is suspected.

Question:

1. Explain each of the admitting signs.

2. What is "atypical" in Ms. X's symptoms? How does this affect treatment and prognosis?

3. What information do serum enzyme and electrolyte levels provide?

4. What purpose does the ECG serve? It is determined that Ms. X. has a large infarct in the anterior left ventricle.

Please help answer each question seapared

Answer 1

Answer : myocardial infarction is occurs when blood supply decreases or stops to particular part of heart muscle causes chest pain and and discomfort it radiates to back ,shoulder ,arms ,jaw etc

1) fatigue : fatigue may due to low blood supply .

Indigestion : indigestion is one of the symptom of MI

Anxious : may be she suffered about her condition or due to hospital environment

Cool clamy skin : due to low blood pressure .

Pain on walking : due to aging .

Atherosclerosis : one of the major cause of MI .