three-vessel coronary angiography and gray-scale and radiofrequency intravascular ultrasonographic imaging after percutaneous coronary intervention. Subsequent major adverse cardiovascular events (death from cardiac causes‚ cardiac arrest‚ myocardial infarction‚ or rehospitalization due to unstable or progressive angina) were adjudicated to be related to either originally treated (culprit) lesions or untreated (nonculprit) lesions. The median follow-up period was 3.4 years. Results The 3-year
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resulting in a heart attack (Blank & Smithline‚ 2002). However‚ most individuals with coronary artery disease do not display symptoms of the disease for decades‚ even as it progresses. The first onsets of symptoms are often sudden resulting in myocardial infarctions‚ also known as heart attacks. (American Heart Association‚ 2011; DeVon‚ & Zerwic‚ 2003). Some but not all of the causes of the disorder are the same in men and women. Risk factors that increase the chances of heart disease are: high blood
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something is wrong‚ emotional stress can produce a sensation of pressure‚ chest constriction‚ or pain that may radiate from the sternal (chest) area to the arms‚ back‚ or neck. That is when you may realize that one is having problem. Myocardial infarction (Heart Attack) is a result of heart disease when a part of the coronary circulation becomes blocked and causes the cardiac
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What are the actions of furosemide that will help the patient? c. What nursing actions should be implemented when administering a diuretic? 2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three myocardial infarctions in the last 10 years‚ he has decreased left ventricular function. Mr. Edwards takes Digoxin‚ Capoten‚ Coreg‚ and Lasix for management of this disease. Today he presents to the emergency department with fatigue‚ generalized weakness‚ and feelings
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by car (in good weather)‚ have been grounded by the weather until morning. The roads are barely passable. WR.‚ a 48 year old construction worker with a 36 pack year smoking history‚ is admitted to your floor with a diagnosis of rule out myocardial infarction (R/O MI). He has significant male pattern obesity (beer belly‚ large waist circumference) and a barrel chest‚ and he reports a dietary history of high fat food. His wife brought him to the ED after he complained of unrelieved indigestion
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A myocardia infraction occurs from myocardial ischemia‚ there is a demise in blood supply to the heart that causes the heart to work faster causing cell damage or death. The treatment goal for a patient that has suffered a myocardia infraction is to restore blood flow to the heart for maximum salvage of functional myocardium. A treatment option for Mr. Garza is the use of Antiplatelet Agents‚ using aspirin immediately has shown to lower mortality rates from myocardia infraction. “Aspirin irreversibly
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follow‚ CHA2DS2-VASc risk Score Congestive heart failure (any history) 1 Hypertension (prior history) 1 Age ≥75 years 2 Diabetes mellitus 1 Stroke/transient transient ischemic attack/thromboembolism history 2 Vascular disease (e.g.‚ myocardial infarction‚ peripheral vascular disease or aortic plaque) 1 Age 65-74 years 1 Sex (female gender) 1 CHA2DS2-VASc of the patient in the question stem would be 1 (for congestive heart failure) + 1 (for hypertension) + 2 (for age >75 years)‚ i.e.‚ he has
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associated with increased deposition of matrix proteins in the myocardium. The expansion of the cardiac interstitial space in absence of significant cardiomyocyte loss is “reactive interstitial fibrosis” and the formation of scar in response to myocardial infarction is called “reparative fibrosis” [10‚ 46]. Increased deposition of endomysial and perimysial collagen leads to interstitial fibrosis in fibrotic heart (Figure 5). Increased collagen deposition in adventitia of intramural coronary arterioles
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(FDA) for its cholesterol drug Niaspan. In order to receive an indication from the FDA‚ a drug company must present two successful studies with the intended outcome. Niaspan has the FDA indication to raise HDL-C‚ reduce secondary non-fatal myocardial infarction‚ and regression of atherosclerosis in combination with a bile acid resin. In a recent study (cite) patients taking Niaspan demonstrated regression of atherosclerosis in combination with statin‚ a popular cholesterol treatment agent. Abbott
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anterior fascicular block‚ previous anterior _____(s/l cervical) myocardial infarction. Neck had no bruits‚ no _____. Lungs are clear. Heart: Single‚ first‚ and secondary sound without murmurs or gallops. Abdomen: No _____‚ and _____ enlargement of his aorta. Extremities has goods pulses with no edema. ASSESSMENT _____ I think the patient certainly can go ahead with his hip replacement surgery. I see no evidence of recurrent myocardial ischemia or _____. He does have some conduction to lay on his
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