Acute coronary syndrome is an umbrella term for a group of clinical symptoms indicative of acute myocardial ischemia. These conditions include non-ST-segment elevation myocardial ischemia (NSTEMI), unstable angina, and ST-segment elevation myocardial infarction (STEMI). These conditions are high-risk manifestations of atherosclerosis in the coronary artery and significant causes of utilization of emergency services and hospitalization (Kumar and Cannon, 2009). STEMI causes 30% of all acute coronary syndromes in Australia (Harper and Lefkovits, 2010). This paper will describe the expected presentation, pathophysiology, ECG findings, pre-hospital management, and initial 24-hour management of STEMI in hospitals settings. These aspects will be described ...
Elevation Case Studies Samples For Students
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Clinical Case Study
The evidence based clinical literature reveals the difficulties in diagnosing Myocardial Infarction (MI) concomitantly with pre-existing left bundle branch block (LBBB) with the application of 12 lead ECG in the pre-hospital environment (Surawicz and Knilans, 2008). Indeed, the T waves and baseline ST segments incongruently displaced in negative direction in cases of LBBB as evident through the ECG findings. These abnormal variations in ECG findings tend to override the actual ECG results in relation to MI manifestations, thereby challenging the confirmation of MI with the ECG intervention. However, the moving ST segments revealed through the serial ECGs during ischemic ...
Overview
Ulcers of the lower leg are common incapacitating wounds amongst the elderly in the United States. For women over 65 years, there is relatively 1.43 percent. These ulcers can be broadly split into two main types with the ones originating from poor arterial perfusion occurring less times and the ones taking place due to venous problems making relatively 70 percent of the presented cases. The etiology of the ulcer is identified through measurement of the ankle/brachial pressure index (ABPI). The ulcers that have an ABPI of more than 0.8, are perceived to be appropriate to be treated with compression ...
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R M. G
Dr. S
P. A., a 56 year old Italian male that identifies with the Italian culture with no significant past medical history presents to the emergency department with the chief complaint of recurrent chest burning. P.A. says his wife believes that he is showing symptoms of having GERD but he has never been diagnosed. P.A states that “the chest burning and discomfort began five days ago and just got progressively worse despite his self medicating with TUMS” he presented to the emergency department on 05-31-16 and felt “some improvement” after a GI cocktail was administered. One set of biomarkers ...
Introduction
According to the American hHeart aAssociation, heart attack or myocardial infarction (MI), is when the heart occurs when one or more of the vessels (coronary arteries) that supply blood to the heart get (Coronary arteries) closedobstructed, and the blood is unable tocan’t reach the heart muscle, causing which cause the muscle to maldysfunction function (AHA, 2007). There are two major risk factors that can cause a patient have two risk factors to cause heart attack; which they are high serum cholesterol level represented also known as as hyperlipidemia and high blood pressure represented also known as hypertension. The Heartheart ...
Abstract
The Hurricane Katrina presents one of the most devastating disasters ever witnessed by the global community. From the Engineering perspective, the Katrina disaster is of high relevance because it challenged ethics in engineering professional. The disaster caused a storm surge that levees in New Orleans were unable to sustain. Evidence affirms that the Katrina disaster is attributable to failures in various elements including engineering, political and social systems. In the Katrina case, the engineering failure that prompted the incident is identifiable in the fact that the engineers failed to armor or protect the levees against erosion. Other factors including the ...
The vital signs depicted, that is, Pulse 100; BP 150/120; Resp 18; are fit to describe several diagnoses. In this case, the likely diagnoses that may be represented include Myocardial infarction, Ischemic heart disease and Cardiac Tamponade. Among the three possible diagnoses, myocardial infarction is the most likely diagnosis whose pathophysiology is characterized by the development of a clotting cascade which is usually triggered by a significant disruption of the atherosclerotic plaque. This could lead to a partial or total occlusion of an epicardial coronary artery (Chou, 2015). Atherosclerosis occurs due to a gradual but fast build up of ...
