Your patient, M.M., who is a 54 year old single male presents to the ER reporting chest tightness. The pain started while he was running to catch-up with a co-worker. He describes previous episodes of chest pain resolving spontaneously with a brief rest. This episode has not resolved. He asks you “Am I having a heart attack? My father died of one about my age.” He also has a history of hypertension and possibly prediabetes. M.M. undergoes a cardiac catheterization procedure revealing 90% occlusion of the inferior coronary artery and a cardiac ejection fraction of 39%. He undergoes a percutaneous stent placement during this hospitalization. He was discharged from hospital the following day. M.M. presents back to your primary care office. He is unsure of the directions that he was discharged with.
Use the summary information to answer the questions below. Part 1: Discuss the pathophysiology of a myocardial infarction or heart failure. – Discuss either myocardial infarction or heart failure as it relates to M.M. Part 2: Explore secondary prevention for a patient with a known myocardial infarction. Describe focused interventions for M.M. that he is currently receiving or should be receiving. – Please explain the pathophysiology behind the intervention synthesizing data from a variety of sources. Please write substantial information for each part, using scholarly articles and the following textbook for references: McCance, K.L. Pathophysiology: The Biologic Basis for Disease in Adults & Children; 7th Ed. 9780323065849 Mosby Elsevier
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