[Solved]: CASE STUDY 12.1 Myocardial Infarction M.X., aged 55…

CASE STUDY 12.1 Myocardial Infarction M.X., aged 55 years, has been complaining of severe fatigue and “indigestion.” Her son is quite concerned and decides to take her to the emergency department. On arrival she appears very anxious, and her facial skin is cool and clammy; her blood pressure is , and the pulse is around go beats per minute, weak, and irregular. She is given oxygen, an intravenous line is opened, and leads for electrocardiogram (ECG) are attached. Blood is taken for determination of serum enzymes and electrolytes. Tentative diagnosis is myocardial infarction involving the left ventricle. Her son provides information that indicates that M.X. is a long-time smoker, has a stressful job as a high school teacher, is recently separated after 20 years of marriage, and is fearful of losing the family home. She has also seemed to be more fatigued and stopped going to the gym about 18 months ago. She has begun to rely on “fast foods” like pizza and fried chicken and cooks infrequently. Her father had died of a heart attack at age 50 years. She had also noticed more fatigue and intermittent leg pain when walking or climbing stairs at work. Generalized atherosclerosis is suspected. 1. List the high-risk factors for atherosclerosis in this patient’s 2. Describe how atherosclerosis causes myocardial infarction. history. 3. It is suspected that the indigestion reported in the history was really angina. Explain how this pain may have occurred. 4. Explain each of the admitting signs. nical” in M.X.’s symptoms? How does this affect