Answer To: PMED1010CaseStudyIt’s...
Dr. Sulabh answered on Mar 06 2023
5
Case Study
1. In atherosclerosis there is a blockage of the flow of blood in the arteries. This further leads to the development of pain in the chest with the occurrence of myocardial infarction. Further, the patient is suffering from breathing problems and breathlessness. This patient has edema with deposition of fluid and swelling in the ankles. The ECG wave electrocardiogram analysis depicts an elevation in the ST wave in the graph with swelling in the limb regions. The ST-wave elevation is due to the occlusion and the blockage of the coronary vessels leading to alterations in the waves obtained in the electrocardiogram. According to the wave graph given in the question, there is a depression of the ST wave in graph I and graph II in the VL and VR region segment wave. Further there is an inversion and depression of the V1, V2, and V3 wave in the I, II and III ECG graphs obtained while monitoring the patient. Further is an inversion and shortening of the waves V5, V6, and V7 as observed in the ECG graph. The V6 wave is very short in comparison to the V4 and V5 waves and there is an observation of wave inversion also. There is observation of a crackling sound also leads to the observation that there is an infection in the lungs of the patient (Themes, 2020). Due to the observation of an ST wave elevation, this patient is showing the occurrence and prevalence of myocardial infarction.
2. There are differences between the occurrence of angina and myocardial infarction. In angina, there is a prevalence of stress and exertion in the body. Further, the condition of angina can be relieved by providing a dose of nitroglycerin. Further, in the condition of angina, there is an observation of a T-wave inversion and depression of the ST waves with cardiac arrhythmias. In comparison in the condition of myocardial infarction, there is a prolonged condition of chest pain with the prevalence of problems during breathing, breathlessness, and diaphoresis. In myocardial infarction, there may not be an elevation in the ST wave but there is an elevation in the levels of troponin. In addition in the condition of angina, there is spread and movement of the pain originating from the chest to the left arm region. In myocardial infarction, there is movement and spread of the pain to the distant regions of the arms leading to discomfort. Further, the pain is felt in the jaw region, shoulders, back, and abdomen region of the patient. As this patient has pain in the jaw originating from...