Coronary Artery Bypass Graft Case Study

On a cool, Autumn, Sunday morning, CC was sitting in church with her family. Just as he does every Sunday morning, Pastor Mike announces the people that have been placed on the prayer list. He mentioned Mrs. Smith, who is having hip surgery. Mr. Jones has the flu and needs prayers, Brother Welch has the stomach virus. Pastor Mike then announces to the church that there are four children in the community who have been diagnosed with cancer. Instantly, CC’s mind drifts away and she thinks about her sister who recently died from cancer. She remembers the pain that her sister went through, how depressed she was, the sadness that her family felt, and what it was like to not be able to do anything to help her sister. CC knows better than most

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.

Mr. Howard, a 57-year-old man, had a 3-month history of progressive typical anginal chest pain. He reported that the symptoms first occurred with heavy exertion and involved what he described as“heaviness” in his chest. The symptoms were promptly relieved with rest. Over the past weeks, he had been experiencing increasingly frequent episodes of chest pain and diaphoresis. The episodes had become more prolonged, and he had experienced one episode of pain occurring at rest after a heavy meal. Mr. Howard was moderately obese and had a 20-year history of hypertension, which was being treated. Other risk factors in Mr. Howard’s history include hypercholesterolemia (350 mg/dL), which he was attempting to treat with dietary modifications, and a 30-year two-pack-a-day smoking history which continued up to the present time. Mr. Howard previously had surgery for a bilateral inguinal hernia repair, cholecystectomy, and arthroscopic surgery on his left knew. He also gave a history of problems with gastric reflux and was currently taking cimetidine (Tagamet).

Coronary artery disease (CAD) is the commonest heart disease in the United States1. Approximately, 29% of patients with Myocardial Infarction ( MI ) present with ST- elevation Myocardial Infarction ( STEMI )2. STEMI is the result of complete occlusion of a major epicardial coronary artery due to thrombus formation. STEMI from a small coronary artery presenting as substantial EKG abnormalities similar to occlusion of a major artery and hemodynamic instability is a rare entity. The epidemiology, typical clinical presentation, outcomes, and optimal management in this group of patients are not sufficiently known.

Answer: Yes, there is a problem with gastric bypass surgery and extended release medications. The absorption of the extended-release medication will decrease after gastric bypass surgery, immediate release form medication should be recommended to this patient. I will recommend bupropion immediate-release tablet, take 100 mg tablet by mouth twice daily for 3 days, and may increase to take 100 mg tablet by mouth three times daily.

"In 2006, more than 690,000 open heart surgeries were performed in the United States. These included surgeries to correct and repair defective valves as well as coronary artery bypass surgery. As recently as 70 years ago, these surgeries would have been impossible. The heart lung machine had yet to be invented, allowing surgeons to temporarily stop and start the heart. Prior to its invention, the longest a heart could be stopped was 30 to 40 minutes---not enough time to complete extensive surgery" (Smith, 2009). Since then, a number of minimally invasive surgical procedures have been introduced that permit surgeons to perform a variety of surgeries, making smaller incisions that leave smaller scars, reduce the chance of infection, are less painful to the patient and necessitate shorter hospital stays. These include minimally invasive direct coronary artery bypass, off-pump coronary artery bypass, videoscopic surgery and robotic-assisted heart surgery.

Coronary artery bypass graft surgery improves the supply of blood to the heart by creating an alternative path to the heart through a healthy artery and by bypassing the clogged artery. The mortality rates have increased over a period of time. However, the mortality rate is not the only decisive factor to bar the hospital from performing this surgery. It depends on several other factors which are described. It I important to know firstly that how much amount of blood is reaching to a subjects heart which implies how urgent is the surgery and what is the stage of the disease. It is possible that in a very advances stage of disease it may not be possible to save the patient. Also even though the surgery is successful but the patient body doesn’t recover or respond to the surgery as a result of age and thus lead to death. Also the previous history of such bypass surgeries and heart attacks would be considered for the population. Number of co-morbidities (like kidney failure) and the prevalence of lung disease which can affect the success of a coronary artery bypass graft surgery. It is also important to consider if there were several readmissions in the hospitals as this would help to know if there were any serious side effects to a patient or if there was any wrong process conducted while doing a surgery. Thus in order to bar a hospital from performing the Coronary Artery Bypass Graft Surgery, it is important the above mentioned factors like stage of disease, advance in

My topic will be based off the Cardiovascular System. I am going to be writing about the first person who got an artificial heart transplant. Barney Clark, a Seattle dentist struggling with congestive heart failure, couldn’t walk from his bedroom to the bathroom. An artificial heart implant was his only option because doctors determined that he was way too sick for a heart transplant. This artificial heart for human implantation is known as the Jarvik 7, which was named after Dr. Robert Jarvik. He has been building these hearts for a while making artificial hearts as early as his school days. Dr. Jarvik attended the University of Utah and started studying artificial organs in 1971. His mentor was Willem Johan Kolff, The Jarvik 7 was the first artificial heart to be designed and used for permeant use, and it had a heart-shaped pump that they put in the patient.

purpose is to provide background information about the study on those individuals who had a heart transplant.

EC-IC bypass surgery is one of technical advances in the medical domain to deal with cerebrovascular disease— kills almost 130,000 Americans each year—that’s 1 out of every 20 deaths. 7 The patient’s demographics and the associated predictive risk factors are the parameters of the surgical outcomes as well as the anticipated risks of procedure and perioperative care. The final outcome also depends on the imbalances in risk factors among patients treated by high and low volume centers. So far volume-outcome based administrative studies done in intracranial aneurysms, 4 (PMID: 12917139) Subarachnoid hemorrhage,8( 14609158) Microvascular decompression surgery 18 (PMID: 12762870), Deep brain stimulation surgery 16 (PMID: 26030704),lumber

The purpose of the coronary artery bypass study was to analyze women’s experiences with surgery. Possible participants were chosen from a cardiac waiting list at two teaching hospitals in England and Wales between 2003 and 2006. The eligible criteria included, women who could read and understand English, and were eighteen years or older first-time coronary artery bypass graft surgery patients. Thirty Caucasian women were chosen to conduct the study over. Due to a lack in a diverse population, the study cannot be evidence for all women.

Bariatric surgeries such as the RYGB and sleeve gastrectomy involve shrinkage of the stomach which can lead to malabsorption that causes nutritional deficiencies (Lanzi et al, 2011). The RYGB is the most common surgical procedure among the bariatric procedures followed by the sleeve gastrectomy ( Seeniann, J., Hoegerl, C., 2009). In the RYGB, the most common vitamin deficiencies according to multiple research articles are calcium, vitamin b12, vitamin D, and iron (Rickers, L., McSherry, C., 2012; Seeniann, J., Hoegerl, C., 2009; Ciuoli, Neri, Brusco et al., 2014).

In the field of cardiothoracic surgery, coronary artery bypass grafting (CABG) is commonly performed in adult patients. This is usually performed with the use of cardiopulmonary bypass (on pump). But, cardiopulmonary bypass has been suggested to be related to the development of many postoperative complications. Thus, technique of operating on a beating heart (without cardiopulmonary bypass); off-pump coronary artery bypass (OPCAB) was developed to decrease such complications related to the use of cardiopulmonary bypass [1].

As with any surgery, complications may occur. Potential risks of a heart transplant may include:

Acute coronary syndrome is a term used for any condition brought on by sudden, reduced blood flow to the heart. Acute coronary syndrome symptoms may include the type of chest pressure that you feel during a heart attack, or pressure in your chest while you 're at rest or doing light physical activity (unstable angina). The first sign of acute coronary syndrome can be sudden stopping of your heart (cardiac arrest). Acute coronary syndrome is