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Case study of 65-year old woman with myocardial infarction
Pages 8 (2008 words)
CASE STUDY Name: Institution: Course: Tutor: Date: Introduction This essay covers a case study of 65-year old woman, Margo McCaffery, who is presented at an emergency department feeling sick. The essay covers mainly, the pieces of assessment data in support of diagnosis of acute myocardial infarction and an explanation of the pathophysiology of each piece of data.
Four pieces of assessment data The key pieces of assessment data include: the elevation of serum cardiac troponin levels (cTnT) diagnosed by collecting and testing of the blood; breathlessness, diagnosed by the observation of shortness of breath; appearing pale and tired, diagnosed by observing the patients feeling; patient feeling tired, fatigued, weak and nausea; the detection of heart sound S3 with no adventitious lung sounds or peripheral oedema; and prior history of heart failure as diagnosed by her doctor earlier; and the data of the 12- lead ECG which shows 2mm elevation in anterior leads of V1-V4 with the Q waves in inferior leads 11, 11 and a VF. McCaffery does not complain of chest pain, which is a symptom of acute myocardial infarction the reason for not having chest pain stems from her age and that she is diabetic. Davidson (2008) states that old and diabetic patients experience silent or non-pain myocardial infarction. Pathophysiology of the data pieces of assessment The pathophysiology of the Electrocardiograph (ECG) and the elevation of serum cardiac troponin (TP) piece data. ...
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