Symptoms And Treatment Of Coronary Artery Disease

Medical involvement included pharmacological intervention. An infusion of Sotalol 40mg was administered intravenously at approx 0930 over thirty minutes with continuous cardiac monitoring. Sotalol, an antiarrhythmic drug, depresses the sinus heart rate, decreases atrioventricular conduction, decreases cardiac output and decreases systolic and diastolic blood pressure (Bryant, Knights, & Salerno, 2003). As the patient was already hemodynamically compromised, a bolus of fluid (Gelofusion 500mls) was administered prior to the Sotalol infusion. The aim was to increase the circulating volume and raise blood pressure. Vital signs remained stable during the infusion, however the heart rate was neither converted to sinus rhythm or reduced to a normal rate.

Mr. XXXX is a 44 years old Caucasian male, a general construction worker who works on a nearby highway for the bridge project, and checked in this urgent care center for complaining of chest pain and shortness of breath (SOB). The chest pain is constant dull and pressure like pain, and started 3 hours ago. The pain is located on the center of chest. He rates the pain 4 out of 10 on a pain scale 0 to 10 while resting. The pain gets worse and increases after eating. He experienced increased chest pain and SOB with simple walking from the parking lot to this office. The pain was not resolved with taking PO 365mg of Aspirin 2 hours ago and resting. He was diagnosed with hyperlipedemia 10 years ago. He is taking medication to manage his high cholesterol level. He denies past history of chest pain, hypertension, and coronary artery disease. He denies any history of heart surgery or cardio artery bypass surgery. He is anxious and fearful for his first chest and SOB. He smokes a half pack a day for past 20 years. He drinks one bottle of bear every evening with meals. He denies taking any herbal medication or illicit drugs. He has been a good appetite. He reported 20 lbs weight gain since his retirement from military. He has an irregular meal time and does not exercise as much as he used to do in the military.

Thomas’ chief complaint was a persistent, crushing chest pain that radiates to his left arm, jaw, neck, and shoulder blade. He also described the pain as a squeezing sensation around his heart. The medical term for this patient’s chief complaint is angina pectoris. Angina pectoris is the medical term for the chest pain or discomfort due to coronary heart disease.

Patient is a high school counselor. He participates in physical activities by running 2 to 3 times a week, playing golf, and volunteering at a nursing home. The patient is married with one daughter and one son. He does not use tobacco and periodically drinks at

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).

Chest pain can be caused by many different factors. Along with other crucial symptoms, it can be worrisome for some type of acute coronary syndrome. The use of nitroglycerin for chest pain is common practice. Nitroglycerin dilates the blood vessels and relaxes smooth muscle of vessels thereby relieving many common symptoms of chest pain. A study on the use of nitroglycerin reveals that while it relieves chest pain for many patients, it is a poor diagnostic tool in relating chest pain to acute coronary syndrome (Grailey & Glasziou, 2012). While many patients receive relief of chest pain symptoms from nitroglycerin, this does not prove a diagnosis of MI or other relatable heart diseases (Henrikson, Howell, Bush, Miles, Meininger, Friedlander, Bushnell & Chandra-Strobos, 2003).

Smoking: Patient has a history of heavy smoking in the past. He used to smoke two packs per day from age 13 to age 56. He quit one

Mr. Simons had history of myocardial infarction and atrial fibrillation. Moreover, he complains of chest pain radiating down his left arm during night, and his pain score is 6 out of 10. The vital signs at 6:30 show blood pressure is 130/80 and pulse is irregular. Ask patient to describe more about the chest pain—the duration, frequency characteristics and way to relief pain used before. () The causes of the chest pain are varied because of the complex system of the body (Skinner, 2010). It is crucial to clarify the symptoms of the chest pain to relate with disease. Plus, ask the patent if he has other cardiovascular diseases and peripheral disease or family members who have. () The reason causes the cardiac disease including heredity. Therefore, understanding the past clinical history and family history of the patient can give clues to

This can occur while the body is in a state of rest unlike with stable angina. Nitroglycerin and rest will not alleviate the uncomfortable feeling and pain. This typically occurs when there is a partial or full blockage of the coronary artery due to a blood clot.

Social History: The patient is married and lives in Portsmouth with his wife. He has three adult children who are healthy. Following formal education, he has worked as a mechanic as well as owning various business on the Seacoast. He currently does not smoke, however has greater than 60-pack-year history of smoking. He quit nearly 30 years ago. He does drink a glass of liquor

Social History: Patient is single, live alone in an apartment. She is a retired secretary. She smokes 1 pack of cigarette weekly for the past 40 years. Drink alcohol 1-2 glass occasionally at social event. Patient son and grandchildren visit weekly.

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).

Patient is a 45 yo male; 5’7”, 221 lbs who entered the emergency room at 6:30 am on 9/7/14 with severe chest pain (onset at 6:00 am) radiating to his arm, L arm numbness and nausea and vomiting. Past medical history reported by wife includes peptic ulcer, tobacco use (1-2ppd for 27 years), elevated blood pressure (controlled by lopressor). Wife did not know of any family history but reports patient’s father is deceased, died at 42 in his sleep. Mother alive and with high blood pressure.

Coronary artery disease (CAD) is caused by fatty buildup in the arteries of the heart. Your arteries are made to carry oxygen infused blood to your heart and other parts of your body if it is filled up with plaque, which is the fatty substance that clogs and blocks up the arteries. If it gets clogged enough to where your heart is not receiving fresh oxygen, you could have a heart attack that could cause very serious damage to your body and could even kill you. When you are younger, you can begin to grow plaque in your blood vessels from not eating right and not exercising regularly. When your arteries are being filled up with plaque they become more narrow and harder for blood to get through as easily as it is supposed to be. When you have

It was one of the clinical days in cardiology department on Monday afternoon. One incident that is worth reflecting on was my encounter with a 52 years old female patient who smoke on average 20 cigarettes per day since more than 20 years. She is an overweight who has recently been diagnosed with chronic obstructive pulmonary disease (COPD), COPD is a a lung disease characterised by the narrowing of the airways. COPD also refers to chronic bronchitis and emphysema, the latter of which Sarah has been diagnosed with. It is emphysema that is Sarah's primary health problem at present.The health promotion strategy adopted in this case was a brief intervention including motivational interviewing, which took place within the clinical area as part of Jessie’s consultation.