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Short note on myocardial infarction
Short note on myocardial infarction
Short note on myocardial infarction
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Etiology
Myocardial infarction occurs when the coronary arteries are blocked by a blood clot. It is commonly known as “heart attack”. The heart needs its own constant supply of oxygen and nutrients to work properly. Two coronary arteries delivery oxygenated blood to the heart, and if one of these two arteries fail or become blocked, then a portion of the heart will not acquire the necessary oxygen. This clot could be because of CAD (coronary artery disease), which happens when the inner walls of the coronary arteries thicken because of build up of cholesterol, fatty deposit, calcium among other elements that are carried in the blood (Boston Scientific, 2009).
The size or pattern of the infarct mainly depends on the location and extent of the occlusion. The area of the infarction is determined by the coronary artery that is affected. Also the blood flow, the duration of the occlusion, and other factors like blood pressure, and cardiac rhythm influence on the size of the infarct. The endocardium, myocardium, epicardium or a combination of them, all can be affected by the infarct. (Mattson Porth, 2011).
Symptoms and Signs
There are many symptoms related to heart attacks, the most important one is chest pain. Chest pain can be derived from many other reasons and not necessarily is related to the heart, but the only way to confirm whether or not is relate to the heart is doing the necessary studies. Angina pectoris is a disease that can cause mild to moderate pain, and the pain may spread to the arms and the jaw, like the symptoms of a heart attack. The pain is inconsistent and come and goes, as Dr. Maestri said, “your body is telling you: take care because you may have a heart attack.”
There are many other signs of a heart att...
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...efore. They have the risk of heart failure; they may suffer from angina pectoris (a heart disease with similar symptoms of a heart attack), and many other diseases like diabetes, hypertension, etc. Deaths have decreased through the pass of the years, but still many people die on a frequent basis of heart attack. Many victims of these disease die even before they reach the hospital and many others die in the hospital.
Conclusions
After doing all my readings, I have reach to the conclusion, that as many doctors say, the best way to avoid a heart attack is by taking the necessary precautions to prevent it. Regular check ups, a balance diet, exercises can decrease the risks of suffering a heart attack or any type of disease. Many people survive, but others do not have the same luck and die. After reviewing MI, I have learned the importance of preventive medicine.
Myocardial infarctions are caused by vascular endothelial disruption most often associated with plaque build-up or atherosclerosis that develops over several years and causes thrombus formation which in turn
The signs and symptoms are pressure, stiffness, pain in the chest or/ and arms that may advanced to the neck, jaw, or back
Heart disease is one of the most common causes of the mortality and morbidity in most well developed countries. They come in different forms such as stroke and other cardiovascular diseases and it’s the number one cause of death in the state of America. In the year 2011 alone nearly 787,000 people were killed as a result of this epidemic. And this included Hispanic, Africans, whites and Americans. As for the Asian Americans or pacific Islanders, American Indians and the natives of Alaska, the concept to them was a second only to cancer. However, statistics has proved that a person gets heart attack every 34 seconds and in every 60 seconds, someone dies out of it which include other related event. Additionally, majority of the women are the
Coronary artery disease (CAD) is the most common type of multifactorial chronic heart disease. It is a consequence of plaque buildup in coronary arteries. The arterial blood vessels, which begin out smooth and elastic become narrow and rigid, curtailing blood flow resulting in deprived of oxygen and nutrients to the heart [1].
The preliminary step in myocardial infarction is atherosclerosis. Atherosclerosis does not occur abruptly, it is a gradual and dynamic inflammatory disease which causes the narrowing of lumen due to the deposition of lipid and foam cells. The formation of fatty streak; which will eventually become a plaque causes the vessel lumen to diminish. The plaque will become unstable, rupture and eventually lead to the event of plaque disruption.
Coronary heart disease is defined by the hardening of the epicardial coronary arteries. The buildup of plaque in the arteries slowly narrows the coronary artery lumen. In order to better understand the physiology of the disease, it is important to first know the basic anatomy of the human heart. The aorta, located in the superior region of the heart, branches off into two main coronary blood vessels, otherwise known as arteries. The arteries are located on the left and right side of the heart and span its surface. They subsequently branch off into smaller arteries which supply oxygen-rich blood to the entire heart (Texas Heart Institute, 2013). Therefore, the narrowing of these arteries due to plaque buildup significantly impairs blood flow throughout the heart.
Since 1960 the age-adjusted mortality rates for cardiovascular disease (CVD) has declined steadily in the U.S. due to multiple factors, but still remains one of the primary causes of morbidity and premature mortality worldwide. Greater control of risk factors and improved treatments for cardiovascular disease has significantly contributed to this decline (Centers for Disease Control and Prevention, 2011). In the U.S. alone it claims approximately 830,000 each year and accounts for 1/6 of all deaths under the age of 65 (Weiss and Lonnquist, 2011). Based on the 2007 mortality rate data an average of 1 death every 37 seconds is due to cardiovascular disease (Lloyd-Jones et al., 2009). Controlling and reducing risk factors is crucial for saving lives. There are a number of contributing risk factors for cardiovascular disease, which may appear in the form of hereditary, behavioral, and psychological, all of which ultimately converge in social or cultural factors.
Signs and symptoms of heart failure include shortness of breath, edema, rapid or irregular heartbeat, weakness, and elevated blood pressure. These signs and symptoms appear slowly in the disease, such as when a person is active, but overtime they will become present when that person is at rest (Couzens, 2014). People at risk for heart failure include those who have sleep apnea, have had a heart attack, have high blood pressure, have diabetes, are overweight, and those abuse alcohol use. There are many other risk factors also; these are just to name few.
Succinctly speaking, a myocardial infarction is not a disease but rather an event occurring due to the progression of coronary heart disease. 1(p.125) With coronary heart disease, the flow of blood which supplies the heart with oxygen is blocked, reducing the amount of oxygen received by the cardiac muscles and resulting in damage or death of cardiac muscle....
One of the leading causes of death in the United States is heart disease. “Approximately every 29 seconds one American will have a heart attack, and once a minute one American will die from a heart attack” (Ford-Martin and Odle, 915). According to the Gale Encyclopedia of Alternative Medicine men over the age of 45 and women over the age of 55 are considered at risk for heart disease. Heart disease is a major cause of death. It is beneficial to individuals who seek to prevent heart disease to recognize the risks leading to heart attacks as they are one of the primary indications of developing heart disease; especially those that fall into the at risk age groups. These risks consist of some that cannot be changed such as heredity risks, or those that can change such as smoking habits. It is very important to know these specific risks for prevention and to understand the symptoms of heart attacks, such as sweating or the feeling of weakness so if these or other symptoms occur people are aware. Finally heart disease treatment is of vital importance if you experience a heart attack so you can learn how to prevent another one from occurring.
Coronary heart disease or coronary artery disease affects 16.8 million people in the United States and causes more than 607,000 deaths annually (Lemone, chap.30). It is caused by atherosclerosis which is the accumulation of fatty deposits in the arteries causing impaired blood flow to the myocardium. CAD or coronary artery syndrome is usually without symptoms but may induce heart attack, angina and acute coronary syndrome if not properly treated. There are many risk factors associated with CAD like obesity, high cholesterol diet, hereditary, physical inactivity, just to name a few. Patients with CAD may be unable to identify and manage their risks factors. It is imperative for nurses to educate the patient about CAD and measures to enhance their health.
What signs and symptoms to look for in CHD? The most common type of symptom is angina. What is angina? According to heart.org, angina is chest pain or discomfort caused when y...
Heart attacks are known in the medical community as myocardial infractions. Some of the most common symptoms or warning from a heart attack may include chest discomfort due to an uncomfortable pressure, fullness, squeezing or pain in the center of the chest (angina). Another symptom is the discomfort in other areas of the upper body because of pain or discomfort in one or both arms, the back, neck, jaw or stomach. The next one is shortness of breath with or without chest discomfort. Lastly, there are other signs such as nausea, dizziness, lightheadedness or cold sweat. There are some cases when these symptoms are not present or the person is considered to be healthy and a heart attack can strike without any warning sings. (Causes,
Often times there are no symptoms of the underlying disease of the blood vessels. More times than not, a heart attack or stroke is the first warning or sign of the underlying disease. Since signs and symptoms of cardiovascular disease are not always apparent, it is important to know the symptoms of a heart attack so medical attention can be sought out immediately. According to...
...use of death in America, in which all in part due to smoking cigarettes. The best way to keep your heart healthy is to eat well, get lots of exercise, and not smoke cigarettes. Our heart and its many functions all work together as one huge electrical system with h the four heart valves as the command center which leads the blood to support the rest of the body. If it was not for our heart and its important job, we would not be able to breathe or live. It is essential to keep it healthy. Our hearts are so important and I think sometimes, we take that for granted. Our four chambers is our life. The better you take care of it, the better it works. It is a very fascinating process and a very long process but it is important that we keep in mind how vital this fist-sized organ is to our bodies. The four chambers of our heart make up the foundation of our very existence.