Percutaneous transluminal coronary angioplasty

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A 72-year-old Aboriginal woman Sally Burton presented to the emergency department with sudden onset of chest pain. She described the pain as a severe burning sensation with associated nausea and epigastric discomfort. She was immediately treated with sub-lingual glyceryl trinitrate (Anginine). The medication provided partial relief, however the pain persisted. A series of diagnostic tests were performed including 12-lead electrocardiogram (ECG) and blood tests for Troponin levels.

A history revealed that Sally was a cigarette smoker, smoking 5 cigarettes a day for 50+ years. She has hypertension (HPT) and is moderately obese. Her family history was significant with her father diagnosed with cardiac disease and died from myocardial infarction (MI) at age 53 and her brother has HPT.

Cardiac catheterization was performed and it was found there was an 85% blockage in the right coronary artery. Sally underwent a percutaneous transluminal coronary angioplasty (PTCA) with stent placement to dilate the coronary artery blockage.

In the acute phase of the chest pain list at least four (4) questions you could ask the person.

Reference no: EM133005792

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