Angina Case Studies

The most common type of heart disease is called coronary artery disease. Coronary artery disease develops when the arteries narrow and become hard. The heart cannot receive all the blood it needs through the stiff narrow arteries. Symptoms include pressure and chest pain or squeezing in the chest which is also known as angina. Angina should be understood as a warning sign and that the sufferer is at an increased risk of a heart attack. When blood is blocked from getting to the heart for more than twenty minutes the result is a heart attack. The symptoms of a heart attack can be less dramatic than what television portrays. The Clutching of the chest and falling to the floor is not what women should expect. The common signs for women to look for are heartburn, loss of appetite, feeling tired or weak, shortness of breath, nausea, and pain in the back, neck or jaw. Women should not hesitate to call for help should they experience these symptoms. It is important that women do not let shame or embarrassment keep them from taking action to insure their safety.

The clues that helped the paramedics determine why the nitroglycerin did not alleviate Mr. Smith's angina were his statements of when he took the nitroglycerin and the consumption of alcohol earlier in the evening. Mr. Smith did not take the nitroglycerin as normally prescribed by most physicians. The medication bottle probably said to take one sub lingual tablet when the angina pain begins, followed by a second dose five minutes later if the pain doesn't subside. Sometimes a third dose may be tried after another five minutes. If the angina wasn't stopped by the medication then 911 should be called. With Mr. Smith's impairment due to the alcohol he didn't take the nitroglycerin correctly. Drinking alcohol while using nitroglycerin causes

The following summary is an updated case study of a 47 year old male patient, Jim who was diagnosed with Coronary Artery Disease. The patient did receive information on what CAD is and was informed that test were needed to fully diagnose and be evaluated for underlying conditions (high blood pressure, high blood cholesterol levels, diabetes and blockage. I will discuss the type of test needed for this condition and tests for any underlying conditions that are related to this disease. The type of treatment needed to control and lower his risk factor. I will also give the patient information about complementary and alternative medicine so the patient will be well informed about different types of treatment. The patient will be informed about the prognosis of the disease, and the options that the patient has to succeed in the changes in his lifestyle that are needed.

Can be caused by indigestion, emotional stress, when one's heart is working very hard, and not getting as much oxygen as the heart needs. After rest, the pain goes away. Stable Angina does not last very long.

The right ventricle fills up  tricuspid valve closes  right ventricle contracts  pulmonary valve opens  the blood flows into the pulmonary artery  pulmonary valve closes  pulmonary artery splits into two vessels each going to the lungs.

We present a case of 51-year-old male who presented to emergency room with complaints of typical chest pain.

In Focus on Pharmacology Essentials For Health Professionals, Jahangir Moini states “angina pectoris is a common form of ischemic heart disease and often precedes and accompanies MI” (Moini, 2013. p.359). When having angina, a patient will feel pressure in the chest like a squeezing sensation and the pain can travel to the jaw, down the arm, into the neck, shoulders, or back.

Describe angina pectoris and discuss the difference between chronic stable angina, unstable angina, and Prinzmetal’s angina.

Chest pain is a very common symptom, and around 20% to 40% of the general population will experience chest pain in their lives(149). In the UK, up to 2 % of visits to a general practitioner are due to new onset chest pain (150). Approximately 5% of visits to the emergency department are due to a complaint of chest pain, and up to 40% of emergency hospital admissions are the result of chest pain(149, 151). Approximately 52,000 new cases of angina per year are diagnosed in men and 43,000 in women. The incidence of angina increases with age(123).

A 60-year-old male, 5 days post laparoscopic cholecystectomy, is getting ready to be discharged today and is going through the final assessment. When the assessment takes place, the nurse finds that patient has a pulse of a 110 beats per minute and irregular compared to his normal 86-90 beats per minute with a regular pulse that the patient has been having since post-surgery.

He is now reporting shortness of breath and chest discomfort. He describes the symptoms as similar to his previous anginal symptoms, though his history is somewhat vague so it is difficult to judge his disease severity based on symptoms alone. I would consider sending him to cardiac catheterization, but he has pending surgical procedure. If he does go to cath and get stented then he would require a year of anti-platelet therapy before he can undergo his procedure. Instead, I think it would be reasonable to risk stratify him with a nuclear stress test. If it is only mildly abnormal, he may still be able to get to his surgery without having to be on dual anti-platelet therapy and we can then deal with anginal symptoms postoperatively. If his stress test is significantly abnormal, then we will need to pursue cardiac catheterization. Would recommend he come back to clinic once stress testing is complete so we can further risk stratify him. Would continue him on his current cardiac medical regimen, as risk factors are well

According to Heart foundation (2015) , coronary heart disease is a major cause of death in Australia, which kills about one Australian every 12 minutes. It is known that the development of atherosclerosis is the vital cause of coronary heart disease. It induces the accumulation of connective tissue rudiments, lipids, cells and other elements in the coronary artery wall (Hansson, 2005). This results in the asymmetric thickenings of the innermost layer, intima, which prevents adequate blood flow through arteries to supply to the organs and tissues. The plaques origin early in life and can progressively enlarge, harden and cause significant blockage(Hansson, 2005, Mathur, 2010). Else, the plaque can rupture and create blood clots,

Angina pectoris is the medical term for chest pains, and is associated with coronary heart disease. This occurs due to a blockage or the over time narrowing of of arteries that transport blood to the heart. With angina pectoris, the causes, diagnosis and treatment steps can mean the difference between life or death for an individual. The term angina

Having chest pain and discomfort: the heart attack involves discomfort either in the centre or left side of the chest lasting for a few minutes and stopping and returning. The pain can be described as heartburn, pressure or squeezing.

Angina pectoris is a term used to describe the syndrome of chest pain resulting from myocardial ischemia (Griffin et al., 2008). Normal non-ischemic myocardial tissues differ from the cardiac tissue of an individual with myocardial ischemia because the normal tissue has adequate blood supply whereas the tissue in angina has inadequate blood supply from blocked coronary arteries. Unstable angina is diagnosed when ischemia is neither severe nor prolongs for more than 20 minutes and regularly occurs at rest (Sami & Willerson, 2010). Patients who have unstable angina are at a high risk for a new infarction and its sequelae such as cardiac death until the endothelial injury is repaired. The purpose of this paper is to present a case analysis of