Coronary Artery Disease Case Study

Words: 1341

Pages: 6

Open Document

INTRODUCTION
Coronary Artery Disease (CAD) is the leading cause of mortality among patients with type 2 diabetes. Patients with this disease usually have myocardial ischemia that are usually silent and in advanced stage when symptoms manifest1,11. The risk for myocardial infarction (MI) among diabetics are 2 - 4 times higher than those non-diabetic patients with lesser survival rate in an event of an MI attack2-4. In addition, this subjects have more diffused, calcified, and extensive CAD3. Given the poorer prognosis of CAD in the diabetic population, it is important that patients with diabetes, at risk of developing or have already developed CAD, are evaluated as early as possible to reduce mortality and morbidity through earlier interventional therapy and risk-factor modification5, 14.
At present, the “gold standard” in the diagnosis of CAD is invasive coronary angiography3,6. Despite the existence of several noninvasive imaging studies, the temporal and spatial resolution of conventional coronary angiography is higher than any noninvasive modalities3,6. However, there’s a caveat. Coronary angiography is expensive, does not allow direct visualization of coronary microcirculation, carries a risk of complications due to its invasive nature, and …show more content…
Quantitative variables were summarized as mean and standard deviation, while qualitative variables were tabulated as frequency and percentage. Homogeneity of baseline characteristics between diabetic patients with adequate and inadequate glycemic control was tested using independent t-test for quantitative variables and Chi-square/Fisher’s exact test for qualitative variables. Association between glycemic control and Summed stress score (SSS) was determined using Pearson linear correlation analysis. Logistic regression analysis was used to determine the odds of ischemia among patients with adequate and inadequate glycemic control. The level of significance was set at

Coronary Artery Disease Research Paper

The coronary artery is responsible for blood supply to the heart muscles. If the arteries is narrowed or clogged, severe coronary artery disease (CAD) or coronary heart disease (CHD) such as cardiac arrhythmia, cardiac arrest and heart attack would happen which risk the lives of patients. Percutaneous coronary intervention (PCI) has become the most widely used method to treat patients with coronary artery disease[1]. Adverse events, such as restenosis and rare cases of stent thrombosis sometime develop…

Words 279 - Pages 2

Essay Kawasaki As Meningitis

Conventional CABG is usually performed in children; off-pump CABG is rarely preferred for use in pediatric patients because of the small diameter of their vessels (5). Extracardiac vascular involvement (including that involving the aortic root and carotid artery) has been documented in children with familial hypercholesterolemia and the incidence of such involvement increases with the age of the patient. Evaluation for atherosclerosis of the aorta is not routinely performed preoperatively in children, although…

Words 1735 - Pages 7

Essay on Prevention of Heart Disease by Vitamin D

deficiency (VDD) has increased significantly in recent years, a change seemingly largely due to lack of sunlight exposure. The potential mechanisms by which VDD increases the prevalence of many forms of cardiovascular disease such as heart failure, hypertension and coronary artery disease have been determined and will be discussed further in this essay. Vitamin D (VD) is mostly produced via UV radiation. UV rays with a wavelength between 290 and 315 nm are able to penetrate the skin and with the help…

Words 1365 - Pages 6

Angina Research Paper

Angina animationngina is chest pain or discomfort prompted whilst your coronary heart muscle would not get sufficient oxygen-rich blood. it can sense like stress or squeeze for your chest. The pain can also arise on your shoulders, hands, neck, jaw, or back. Angina pain might also even sense like indigestion. however, angina isn't always an ailment. it's far a symptom of an underlying coronary heart problem, normally coronary heart ailment (CHD).there are numerous forms of angina, including microvascular…

Words 1509 - Pages 7

Anatomy Case paper

PATIENT JOHN DOE MEDICAL EXAMINATION AND MEDICAL HISTORY Case Study: You are a first-year RN student and you volunteered to work for San Antonio Hospital in the ER Department. Patient John Doe was brought by the ambulance after he collapsed at work. The triage nurse is assessing him for further evaluation by the ER Physician on duty. Based on your study of Anatomy and using your critical thinking skills, you were given the following criteria about Mr. Doe: 1. Personal History: 65 years…

Words 2249 - Pages 9

Essay on Periodental Deasease

Obscure Cause of Heart Disease-Periodontal Disease Periodontal disease is a very significant risk when it comes to heart disease. My research is directed towards the hidden link between periodontal disease and heart disease. I was interested in researching this due to work, I work in a dental office where it is very common for patients to get diagnosed with periodontal disease. More importantly some of this patients already have heart problems when they come in and are diagnosed. So it is very…

Words 2293 - Pages 10

Essay Heart Attack

Myocardial Infarction: “Heart Attack” Heart disease is the leading cause of death in the United States today. Acute myocardial infarction, or commonly known as a heart attack, is a result of a heart disease. It can occur suddenly or present itself inevitably overtime. Also known as coronary thrombosis, and according to Medilexicon’s medical dictionary, a heart attack is, “infarction of a segment of heart muscle, usually due to occlusion of a coronary artery.” This means that a heart attack is the result…

Words 1092 - Pages 5

Essay on Atherosclerosis Current Diagnosis

developing the disease. It is considered the most common cause of morbidity and mortality in the world. Epithelial injury caused by different risk factors is the initial process of the disease. Nitric oxide liberation, lipid retention, and inflammatory cell proliferation are of significance in the disease pathogenesis. The goal of this review is to better understand the disease process and the role of the atherogenic biomarkers that develop in the affected site during the disease progression.…

Words 4716 - Pages 19

MR250 Unit 7 Reading Essay

MR250 Unit 7 Reading-Chapter 8 Cardiology and Hematology The cardiovascular or circulatory system consists of the heart and the blood vessels (arteries, capillaries, veins) (see Figures 8-1 and 8-2). The purpose of the system is to provide rapid delivery to the tissues of oxygen from the lungs; nutrients, minerals, vitamins, and water from the digestive system; hormones from glands; and white blood cells from bone marrow and lymphoid tissue, while removing waste products and delivering them to the…

Words 8940 - Pages 36

Essay on Case Study

PART ONE Medical-Surgical Cases 1 1 Cardiovascular Cardiovascular Disorders Case Study 1 Heart Failure Difficulty: Beginning Setting: Emergency department, hospital Index Words: heart failure (HF), cardiomyopathy, volume overload, quality of life X Scenario M.G., a “frequent flier,” is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come to the hospital today because I…

Words 33991 - Pages 136