Assignment: Cardiovascular Case Study
John is a 76-year-old man with a long history of stable angina and hypertension. He is prescribed nitroglycerin tablets as needed for chest pain and lisinopril for his hypertension. John has noticed that his chest pain is occurring with increasing frequency and less activity is required to initiate the symptoms; however, the pain subsides quickly with rest and one or two nitroglycerin tablets.
John is awakened from sleep with chest pain and shortness of breath. The pain is much more severe than his usual anginal pain and radiates to the jaw and the left arm. He experienced some nausea and became diaphoretic and pale. Upon admission to the local emergency department, he was noted to have significant ST-segment elevation on a 12-lead electrocardiogram (ECG).
Questions:
1. What diagnosis is consistent with John's history and physical exam?
2. Differentiate between a STEMI and Non-STEMI.
3. What are the pathophysiological findings specifying an MI?
4. What are the differences between angina, silent ischemia, and myocardial ischemia?
5. Provide a description of the three factors associated with Sudden Cardiac Death.
6. What are the possible complications post-MI might the NP be aware of when caring for John?
Format your assignment according to the following formatting requirements:
1. The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
2. The response also include a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
3. Also Include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.