Reference no: EM133281356
Ernest Brown is a 55-year-old African American male with diabetes that is well controlled with medication. He has had occasional, transient episodes of chest tightness over the last two weeks, and the tightness returned one day while he was pushing a wheelbarrow full of leaves up a slight incline in his yard. Since the pain didn't seem to be going away, he decided to call his doctor.
The doctor's receptionist had Ernest speak with the nurse, who asked Ernest about the quality and location of the chest tightness. Ernest replied that the tightness felt like a band across the center of his chest, with pain radiating through his left arm for a few seconds before subsiding. He added that this particular episode of chest tightness was triggered by exertion while doing yard work, and that he had had a couple of recent episodes while walking briskly uphill.
The nurse, suspecting that Ernest's angina might be a sign of an imminent heart attack, told him to hang up, dial 911, and tell the dispatcher he thought he might be having a heart attack. Ernest did so, and an ambulance arrived at his home within 10 minutes. The ambulance whisked him to the emergency room, where a team of physicians and nurses was waiting to administer the emergency department protocol for a suspected myocardial infarction. You are the receiving nurse.
1. What are some risk factors for coronary artery disease? Identify the difference between 'modifiable' and 'non-modifiable'.
2. Identify the coronary arteries; what is each artery responsible for? Your own terms please - do not cut & paste this!
3. What is the difference between coronary artery disease and peripheral vascular disease (arterial only)?