Additionally the hormones involved in the rennin angiotension system work to increase cardiac output by decreasing glomerular filtration and fluid retention (Huether & McCance, 2012). A.O’s recent pedal edema likely implicates that her left-sided heart failure has caused right-sided heart failure. Left -sided heart failure can create right sided-heart failure after an increase in left ventricular pressure is reflected back into the pulmonary circulation (Huether & McCance, 2012). This increased pressure stresses the right ventricle to pump against greater pulmonary and vascular resistance and left ventricular pressure (Eckman, 2013). A.O’s recent symptom of exceptional chest pain is likely caused from angina. To confirm this diagnosis and prevent myocardial infraction the physician would likely perform a few tests on A.O. The first test the doctor will likely be an EKG. The doctor could also possibly perform a stress test. Thirdly, the doctor would also test for normal troponin levels, normal ck and normal myoglobulin (Huether & McCance,
Additionally the hormones involved in the rennin angiotension system work to increase cardiac output by decreasing glomerular filtration and fluid retention (Huether & McCance, 2012). A.O’s recent pedal edema likely implicates that her left-sided heart failure has caused right-sided heart failure. Left -sided heart failure can create right sided-heart failure after an increase in left ventricular pressure is reflected back into the pulmonary circulation (Huether & McCance, 2012). This increased pressure stresses the right ventricle to pump against greater pulmonary and vascular resistance and left ventricular pressure (Eckman, 2013). A.O’s recent symptom of exceptional chest pain is likely caused from angina. To confirm this diagnosis and prevent myocardial infraction the physician would likely perform a few tests on A.O. The first test the doctor will likely be an EKG. The doctor could also possibly perform a stress test. Thirdly, the doctor would also test for normal troponin levels, normal ck and normal myoglobulin (Huether & McCance,