http://www.ncbi.nlm.nih.gov/pmc/?term=aspirin%20angina%20pectoris 2. 1187 results Factors in primary care that influence the recognition and evolution of stable angina into acute myocardial infarction Introduction Stabile angina pectoris is a symptom that is associated with coronary vascular disease. It is a subjective feeling of chest pain, pressure, burning sensation or some other subjective feeling described by the patient that usually appears after physical exercise, intense emotional stimulus, stress or other provoking factor (Somerville et al. 2008). It is very variable symptom that varies when is described by different patients, and this makes it one of the most controversial symptoms in the medicine (Melvyn et al. 2010). Stabile angina pectoris is usually first recognized during a general practice (GP) doctor visit, or is noticed by a nurse during a home visit or other occasion. GP doctors often must decide if the acute symptoms described by the patient are due to heart problems or some other less acute condition and have limited resources in GP ambulance to do complete more detailed diagnostic tests like stress test, laboratory findings, angiography or other procedures that are less often found in GP office. Initial recognition of this symptom but also the future monitoring and treatment of these patients is important for the preventing progression of evolution of the coronary artery disease and progression of stable angina pectoris into unstable angina of myocardial infarction (Adam et al. 2007). In this essay we will conduct a critical review of several studies in order to assess factors that influence the recognition and progression of stabile angina pectoris into a more serious condition. Review of studies in relevance to stabile angina pectoris in primary care As we mentioned above angina pectoris is a symptom defined by the patient in his own words. This condition can often cause changes like ST depression on EKG strip but very often angina pectoris can occur without any changes on the ECG strip (Hausmann et al. 1991). Because more accurate methods for confirmation of angina pectoris are often unavailable in pre-hospital or pre-clinical settings, anamnesis has important function as a factor for initial recognition of this disease. But as we mentioned above angina pectoris is a subjective symptom and description of the patients often vary significantly. This condition was researched by Melvyn et al. 2010 who tried to recognize the variations of presentation of these symptoms. For this task they recruited patients from two general practice institutions and only included patients that had diagnosis for angina pectoris or other ischemic cardiovascular (CV) condition or patients that were taking some form of nitrates. All of the participants were subjected to interview conducted by medical professionals and all of the participants were asked the same questions: did they have any chest, jaw or neck discomfort in the last year and how would they describe this discomfort. A total of 64 patients were interviewed. There are a set of widely accepted individual interpretations of angina pectoris that are called the angina “canon”. These symptoms are (Somerville et al. 2008): - assotiation of the symtoms with physical exercise. - positive reaction after administration of medication, - general duration of symptoms during a single attack. There are studies that show that doctors often don’
In this study we used National library of medicine (NCBI) website (http://www.ncbi.nlm.nih.gov) and its subcategory - PubMed Central: free, full text journal articles located online at: http://www.ncbi.nlm.nih.gov/pmc/. We present the keywords and results from our research: KEYWORD: stabile angina pectoris 1…
A 29-year-old female patient was admitted to the internal medicine department with epigastric pain, continuous colic, nausea, and vomiting. The ECG demonstrated an old anterior wall myocardial infarction. The serum creatine phosphokinase (CK) and cardiac troponin T (TnT) levels were normal.
Myocardial infarction (MI) is also called heart attack, which occurs due to, the formation of occlusive thrombus after the rapture of an atheromatous plaque in a coronary artery (Davidson, 2008). Pathophysiology is the study of physiological, mechanical and biochemical functions of the body, the abnormal functioning of the body results from a disease or an abnormal syndrome or the disturbances of body functioning caused by a disease (Luis, 2012).
Myocardium infarction primarily involves the lack of oxygen in the myocardium and with increased oxygen deprivation, the infarct can cover a more significant portion of the myocardium. It is therefore important to immediately initiate oxygen therapy in order to deliver oxygen to the myocardium and reduce the infarct.
In the modern day scenario, chest pain and other related symptoms might signify ‘Acute Myocardial Infraction’ (AMI). This syndrome is highly associated with heart attack and atherosclerosis, a disease which has a negative impact on blood cell.
3-9; Crea & Gaspardone 3767).
At present angina pectoris is generally used to include conditions such as myocardial ischaemia, esophagus, lung or chest wall disorders. An extensive description for angina pectoris includes discomfort in the jaw, shoulder, upper limbs and back.
According to the British Heart Foundation, beta-blockers block the action of certain hormones (i.e., adrenaline) that increase the rate and force of heartbeat. In detail, the blockade of beta-1 receptors slows down the heart rate, reduces myocardial contractility, and lowers systemic blood pressure and it reduces oxygen supply also.
However, chronic obstruction may produce permanent loss of renal mass. and excretory capability, as well as enhanced susceptibility to local infection and stone formation. Early diagnosis and prompt therapy are therefore essential to minimize the otherwise devastating effects of obstruction on kidney structure and function.
nt through a bout of severe nose bleeding (epistaxis) with dizziness and registered pathophysiological signs of abnormalities on heart pump and blood vessel functions causing him a 180/110 reading in blood pressure.
Based on the case description, the patient encountered
2 pages (500 words)Essay
Hire a pro to write a paper under your requirements!
Win a special DISCOUNT!
Put in your e-mail and click the button with your lucky finger
Apply my DISCOUNT
Got a tricky question? Receive an answer from students like you!Try us!
Let us find you an essay for FREE
Contact us via Live Chat, call us at +16312120006or send an email to firstname.lastname@example.org