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Cardiac Cardiovascular Case Study Hypertension:

Last reviewed: March 10, 2010 ~3 min read

Cardiac

Cardiovascular Case Study

hypertension: chronic elevated blood pressure diuretic: a substance/drug that causes the kidneys to engage in increased activity, causing more frequent urination/less fluid retention electrocardiogram: a measurement of the electrical activity in a heart, to test for problems/ensure stability myocardial infarction: "heart attack;" the blood vessels to the heart become blocked, and the heart ceases functioning/is greatly debilitated bypass surgery: involves the creation of a bypass of blocked arteries, allowing normal blood flow to regions supplied by blocked arteries sublingual: under the tongue; many drugs dissolve and are absorbed into the bloodstream effectively from this location angina: chest pain resulting from reduced blood flow to the heart angiogram: X-ray procedure that measures blood flow through an artery through the use of fluoroscopy (an injected substance that appears differently under X-ray) coronary arteries: blood vessels that supply the heart muscles angioplasty: the widening of an artery to restore normal blood flow atherosclerosis: the condition of hardened and clogged arteries brought about by the collection of fatty deposits on the interior blood vessel walls

2)

The ST event likely represents ischemia, the condition brought about by the damage of tissue in the heart due to a lack of adequate blood supply, a precursor to/cause of the myocardial infarction.

3)

J.M.'s risk factors contributing to the infarction were his gain in weight, his high-fat and high-sodium diet, generally sedentary lifestyle, and family history of similar infarctions and heart/artery problems.

4)

The sympathetic nervous systems sends branches to many internal organs, also passing through (or connecting to nerves that pass through) parts of the body that the brain and the consciousness more easily recognize as feeling one way or another. The "pain" caused to the heart due to tissue damage can be misplaced in the body due to these nerve pathways and connections; heart attacks are often felt in the left arm and elsewhere on that side of the body between the heart and brain.

5)

Diuretics would encourage the elimination of sodium and a lessened fluid retention, easing the pressure in his arteries.

6)

The increased acidity in J.M.'s blood indicates reduced heart functionality and creatine phosphokinase levels are elevated which indicates muscle damage; low-normal lactate dehydrogenase suggest no recent prior infarctions, however, and without further tests this particular measure is not especially edifying.

7)

The drug relaxes blood vessels, allowing easier passage of blood reducing chest pain (which elevates stress and blood pressure) and easing the underlying problem, as well

8)

Aspirin inhibits the collection of platelets at the site of a plaque rupture, preventing a full blockage from building up and causing a heart attack and allowing blood to flow more freely.

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