Case study II: Diana Adams, 50 year old female with severe chest pain was taken
ID: 3480357 • Letter: C
Question
Case study II: Diana Adams, 50 year old female with severe chest pain was taken to the Emergency Room. Pain not relieved by Nitroglycerine. Chest pain radiates to the neck and lower jaw. She has a strong family history of heart disease. Based on the above history and findings, please answer the following: 1. What s the likely diagnosis for Diana? 2. What's the likely cause of this condition? 3. How do you confirm this diagnosis? (Lab tests) 4. How do you treat this condition? Please include surgical procedures if any 5. What is thrombolytic therapy?Explanation / Answer
1) Diana, 50 years old female has suffered from severe chest pain. The pain is radiated towards neck and lower jaw and is not releived by nitroglycerine. She also has a strong family history of heart disease. Therefore, the diagnosis is acute myocardial infarction.
2) Myocardial infarction occurs when blood supply to the heart is abruptly stopped. It occurs when there is a block in coronary arteries.
3) The laboratory tests that can be used in the diagnosis of myocardial infarction includes measuring the levels of troponin and electrocardiogram.
4) It can be treated by coronary artery bypass graft. Medications include beta blockers, ACE inhibitors, anti platelet drugs.
5) Thrombolytic therapy is the administration of certain drugs to breakup or dissolve blood clots. The drugs include streptokinase, reteplase, t-PA.