Coronary Heart Diseases: A Case Study

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.

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.

Coronary Heart Disease (CHD) it is also know as Coronary Artery Disease. It happens when the blood vessels delivering to the heart develop blockage or are narrowed by plaque, which reduces the flow of the blood, oxygen and nutrients supplied to the heart. If this happens the person starts to feel chest pain (also known as angina pectoris) and then it lead to the person to have a heart attack. It is known to be the main factor to cause cardiac arrest and it can be fatal unless the heart is restarted in minutes.

Coronary heart disease (CHD), also known as ischemic heart disease is the most prevalent form of cardiovascular disease in Australia. While over 20,000 of deaths in 2011 were attributed to CHD, there were estimated 590,000 Australians 18 years old and above diagnosed with CHD in 2011-2012 (AIHWAustralian Institute of Health and Welfare, 2014; Craft, 2014, p. 596).

Coronary heart disease is one of the leading killers in America. I will later discuss why this is the case, and how the choices of Americans will inflict the ultimate price of death. Aside from bad decisions, the anatomy of where this disease takes place is fragile in regards to bodily malfunctions. The reason it is called coronary heart disease is because it takes place in the coronary arteries. These arteries are what supplies the heart with oxygenated blood. So you can guess that if something goes wrong with these arteries, it could be detrimental for the entire body because the heart pumps blood to the whole body. The right and left coronary arteries branch from the aorta, which is the main supplier of blood to the systemic circuit. The

Coronary heart disease (CHD), also known as ischemic heart disease is the most prevalent form of cardiovascular disease in Australia (Australian Institute of Health and Welfare, 2014). While over 20,000 of deaths in 2011 were attributed to CHD. There were estimated 590,000 Australians 18 years old and above diagnosed with CHD in 2011-2012 (AIHW, 2014; Craft, 2014, pg. 596). Myocardial ischaemia is a common form of CHD. A sufficient coronary artery blood flow is essential to supply oxygen for normal cardiac activities. Myocardial ischaemia develops when there is an insufficient supply of blood and oxygen to support the function of myocardial cells (Craft, 2014, pg. 599). A decrease in blood supply can led to the formation of atherosclerotic plaques by narrowing or occluding the arteries. Other conditions such as hypotension, coronary spasm, dysthymias, hypoxemia and anaemia can also decrease the blood and oxygen supply to the myocardial cells (McCance & Huether, 2014, pg. 1153)

Coronary heart disease (CHD) is a type of cardiovascular disease that may be referred to by several other names such as: coronary artery disease, ischemic heart disease, atherosclerosis, or simply heart disease, and is a pathological condition where plaque (a waxy substance) has accumulated over time in the coronary arteries and has built up to the point where it reduces oxygenated blood flow to the heart (National Heart, Lung, and Blood Institute, 2016).

First, Coronary Artery Disease is a serious heart condition that impairs blood flow to the heart muscle. A nurse should have knowledge of the disease process, signs and symptoms, diagnostic tests, and treatments available. The coronary arteries supply blood, oxygen, and nutrients to the heart. The main coronary arteries are the left and the right arteries. The left coronary artery. The disease is typically caused by plaque accumulation in the coronary arteries. Atherosclerosis is the formation of plaque affecting layers of the large and midsize arteries. Plaque contains cholesterol, triglycerides, phospholipids, and collagen. When plaque accumulates in the arteries it decreases the size of the inside of the arteries. Plaque may surround the

Coronary heart disease is a huge issue in our world today. Many researchers are currently working on finding ways to study and improve our treatments and prevention methods. This study focuses on how anti-lipoprotein A-I autoantibodies are displayed in patients with no autoimmune disease. Furthermore, this study could also help potentially discover a new treatment or a new form of diagnosis for cardiovascular diseases. Because this study was based on an autoimmune response, the population examined needed to have an accurate anti-ApoA-I diagnosis and also needed to have gone to the emergency room for chest pain. 132 patients were included in this study. The factors used for this study included chest pain which lasted more than five minutes, without considering age or gender, with no ST-segment elevation. Chest pain that lasted less than five minutes, hospitalization, known diseases associated with autoimmune disorders or patients with signs of heart failure were excluded.

Obstruction is the action of obstructing or the state of being obstructed. An obstruction disease is a disease that impedes or prevents passage or progress of blood through the veins or arteries inthe body. Coronary artery disease, also known as atherosclerotic heart disease, is damage or disease to heart's major blood vessels, the arteries. Coronary artery disease is usually caused by a buildup of plaque. This buildup of plaque causes the arteries to become narrow and harder, which limits blood flow to the heart. People that get coronary artery disease can be asymptomatic and not experience any symptoms. But people may experience chest pain, indigestion or nausea, light headness, or sweating, fast heart rate or shortness of breath. CAD has

You lounge on your couch and watch your favorite sitcom on the television. An ice cream commercial comes up, and all of a sudden you feel like having some ice cream too. You reach for a spoonful of ice cream in your freezer, but find yourself finishing half the tub in the next moment. Coronary heart disease has become a worldwide epidemic; with its major causative factors including diet and lifestyle. A statistic provided by the Centers for Disease Control and Prevention (CDC) stated that in the United States, about 610,000 people die of heart disease annually– that’s 1 in every 4 deaths. More than half that amount of death is caused by coronary heart disease.

The leading number one killer of the United States population is coronary heart disease. Coronary heart disease happens when not enough blood flow reaches the heart, which possibly will cause a heart attack. The main people who are at risk from this disease are the smokers, people who are diabetic, have high blood pressure, high cholesterol and genetic risk factors. The chances of getting heart disease also increase the older one gets.

Mr. Smith has a history of coronary artery disease. Records indicate he has had seven stents in the past, though I do not have primary records for all of these stents. The most recent catheterization I can find in the system is from 2014. At that point in time, he had a 50% in-stent restenosis in the right coronary artery and minimal disease in the left system. His most recent echocardiogram was done in 04/2017 and showed normal left ventricular size and function. He had an EKG in 03/2017, which was consistent with an old inferior infarction but no ischemic changes. No ST or T-waves. His most recent lipid panel was from 05/2017 showing an LDL of 51. He has been maintained on a good cardiac regimen including aspirin, moderate dose of atorvastatin, carvedilol, hydralazine, hydrochlorothiazide, and isosorbide mononitrate.

They’re a lot of serious circulatory/heart diseases but the most serious one is Coronary Heart Disease (CAD). CAD is responsible for approximately 30% of deaths globally. What CAD does to your heart, it makes your arteries narrow and hard. This happens when cholesterol and plaque build up on the inner walls of the arteries.This buildup is called atherosclerosis, as the build continues to grow its harder for blood to flow through the arteries which results to the heart not getting enough blood or oxygen it needs. This results to chest pain or a heart attack, if CAD is not for treated early on it could cause permanent heart damage. CAD affects women and men you can get CAD any age but as you grow so does the risk.

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,