What is epidemiology of coronary artery disease

Reference no: EM133657061

Question

Ruth Olson, a 73-year-old female presented to the emergency department with a recent (4-hour) history of severe chest pain radiating to her left arm. She was suspected of having had a "heart attack." Coronary angiography revealed complete occlusion of the left anterior descending branch about 2 cm from its origin. She was given a therapeutic dose of recombinant human tissue plasminogen activator (tPA). This treatment restored coronary artery blood flow, and her chest pain improved. Simultaneously, she was started on one tablet of aspirin per day.

Seven days later, she noted swelling of both legs and feet and was found to have pitting edema of the legs; her liver was enlarged, and her neck veins (jugular) appeared full. She was given diuretics and asked to consume a salt-restricted diet. Because of considerable weakness, she remained in bed most of the time.

A few days later, she developed sudden pain in the lower right part of her chest, aggravated by taking a deep breath. Physical examination revealed that her left leg had more swelling than the right. X-ray of her chest showed a faint shadow in the peripheral part of the lower lobe of the right lung. Intravenous heparin was started.

What is the epidemiology of coronary artery disease in the United States? (CDC; WHO; American Heart Association, and other sources) What are the clinical settings in which venous thrombosis of leg veins occurs? What is the most feared consequence? What is the Primary Diagnosis? What are two possible differential diagnoses? What is the likely outcome of this case?

Reference no: EM133657061

Questions Cloud

System-level intervention to reduce stunting in children : Explain anticipated challenges associated with system-level intervention to reduce stunting in children.

Importance to community of addressing suicide prevention : Explain the importance to your community of addressing suicide prevention, including consequences of not addressing it.

Performing oral hygiene often leads to decreased appetite : Performing oral hygiene often leads to a decreased appetite. Adhesive should always be applied to hold dentures in place.

Truth-telling-veracity : Truth-telling-veracity: one of the basic ethical principles that allows health care professionals to determine right and wrong

What is epidemiology of coronary artery disease : What is the epidemiology of coronary artery disease in the United States? What is the most feared consequence? What is the Primary Diagnosis?

Diluting the medication : You are to give 5 mg of a medication per IV push. After diluting the medication with 4.5 mL saline how many mL/min will you administer?

Identify data collection tool you could use for research : Identify a data collection tool you could use for your research. Consider how you could employ translational research to potentially overcome barriers

Functions of public health : Properly identify and describe an activity that exemplifies each of the ten functions of public health.

Know about the teenagers condition : In the analysis, include specific directions you would want the patient and the parents to know about the teenager's condition.

User Account

All Pages