Case Study

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Case Studies on Cardiac Function

This is the first case study that is required for the class. Please submit a paper (doesn’t have to be long; you could even give me bullet-point answers to the questions listed below) that answers all of the questions posed after Case Study 1. I have included an easy second case study which, if you complete it, will be worth extra credit. Answers to the first Case Study are worth 25 points and responding to Case Study 1 is required work for the course. The extra credit, which is not required, will be worth a total of 10 points. Please check the syllabus for the due date.

Case 1
A.O. is an 89-year-old woman with a long history of systolic heart failure secondary to a large left ventricular
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Tropopins elevated between 4-6 hours after the onset of an acute MI and remains elevated for 8 to 12 days. Myoglobin levels rise within 1-4 hours after the onset of chest pain. Creatine kinase -MB increase within 3 to 12 hours of onset chest pain, reach peak within 24 hours and return to baseline after 48 to 72 hours. 3. What is the most common pathophysiologic precipitating event for ACS? What differentiates USA from MI?
Unstable angina. Unstable angina is a warning sign that a heart attack may happen soon and MI is a heart attack. 4. What is the rationale for using thrombolytics in the management of STEMI?
To try an break up the clot before it can cause a massive heart attack possibly leading to death. 5. Why are morphine and nitroglycerin used to manage ischemic chest pain?
Morphine reduces anxiety and catecholamine secretion and is a preload reducer. Nitroglycerine causes relaxation of vascular smooth muscle, which decreases preload and reduces

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