A 75-year-old male with long-standing hypertension and angina due to coronary heart disease presents with ankle edema, nocturia, increased shortness of breath with activity, and a chronic nonproductive cough. He has a past history of smoking two packs per day and is an ex-alcoholic. His blood pressure is 170/80 and his heart rate is 100. Electrocardiography and chest radiography indicate the presence of left ventricular hypertrophy.Relate the presence of uncontrolled hypertension and coronary artery disease to the development of heart failure in this man. Explain the significance of left ventricular hypertrophy in terms of both a compensatory mechanism and as a pathologic mechanism in the progression of heart failure. Explain the management and treatment for this diagnosis.A 36-year-old woman enters the clinic complaining of headache and not feeling well. Her blood pressure is 175/90 mm Hg. Her renal test results are abnormal, and follow-up tests confirm that she has a stricture of the left renal artery. Would this woman’s hypertension be classified as primary or secondary? Explain the physiologic mechanisms underlying her blood pressure elevation.

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Answered: A 75-year-old male with long-standing…

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

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

Chapter36: Cardiac Procedures

Section: Chapter Questions

Problem 36.2CS

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A 75-year-old male with long-standing hypertension and angina due to coronary heart disease presents with ankle edema, nocturia, increased shortness of breath with activity, and a chronic nonproductive cough. He has a past history of smoking two packs per day and is an ex-alcoholic. His blood pressure is 170/80 and his heart rate is 100. Electrocardiography and chest radiography indicate the presence of left ventricular hypertrophy.

Relate the presence of uncontrolled hypertension and coronary artery disease to the development of heart failure in this man.
Explain the significance of left ventricular hypertrophy in terms of both a compensatory mechanism and as a pathologic mechanism in the progression of heart failure.
Explain the management and treatment for this diagnosis.

A 36-year-old woman enters the clinic complaining of headache and not feeling well. Her blood pressure is 175/90 mm Hg. Her renal test results are abnormal, and follow-up tests confirm that she has a stricture of the left renal artery.