1. Indicate the form of infarction with such unusual localization of the pain syndrome and the presence of dyspeptic disorders. 2. Describe the most typical localization of pain during myocardial infarction 3. What changes on the ECG are typical for myocardial infarction?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
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Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter8: Emergency Procedures And First Aid
Section: Chapter Questions
Problem 8.1CS
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TASK N 4
A 39-year-old man, who previously considered himself to be
practically healthy, felt severe pain in the epigastric region and
strong weakness while performing heavy physical work. After 20
minutes the pains weakened but there were complaints of nausea
and vomiting. On examination: the state of moderate severity,
arterial pressure is 70/45 mm Hg, sinus bradycardia. Careful
palpation revealed no signs of a gastrointestinal pathology. After
ECG registration, the patient was hospitalized with the diagnosis
"Acute left ventricular infarction".
Questions:
1. Indicate the form of infarction with such unusual localization of
the pain syndrome and the presence of dyspeptic disorders.
2. Describe the most typical localization of pain during
myocardial infarction.
3. What changes on the ECG are typical for myocardial
infarction?
4. Which plasma enzymes can be measured in order to confirm the
diagnosis?
5. List possible causes of heart attack in the absence of pre-infarct
symptomatology (for example, angina pectoris)
6. List the most common complications of acute myocardial
infarction
7. What is the most likely mechanism of the development of sinus
bradycardia in a patient.
Transcribed Image Text:TASK N 4 A 39-year-old man, who previously considered himself to be practically healthy, felt severe pain in the epigastric region and strong weakness while performing heavy physical work. After 20 minutes the pains weakened but there were complaints of nausea and vomiting. On examination: the state of moderate severity, arterial pressure is 70/45 mm Hg, sinus bradycardia. Careful palpation revealed no signs of a gastrointestinal pathology. After ECG registration, the patient was hospitalized with the diagnosis "Acute left ventricular infarction". Questions: 1. Indicate the form of infarction with such unusual localization of the pain syndrome and the presence of dyspeptic disorders. 2. Describe the most typical localization of pain during myocardial infarction. 3. What changes on the ECG are typical for myocardial infarction? 4. Which plasma enzymes can be measured in order to confirm the diagnosis? 5. List possible causes of heart attack in the absence of pre-infarct symptomatology (for example, angina pectoris) 6. List the most common complications of acute myocardial infarction 7. What is the most likely mechanism of the development of sinus bradycardia in a patient.
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