INFERIOR MYOCARDIAL INFARCT AS SHOWN ON THE ECG

Inferior myocardial Infarct as shown on the ECG and may possibly require Tenecteplase and or Percutaneous Coronary Intervention

Inferior myocardial Infarct as shown on the ECG and may possibly require Tenecteplase and or Percutaneous Coronary Intervention (Cardiac).

Introduction

Atrial infarction is rarely diagnosed before death because of its characteristically subtle and nonspecific electrocardiographic findings. These findings may be overshadowed by changes associated with concomitant ventricular infarction. A case of right atrial infarction accompanied by inferior myocardial infarction with rapid decompensated atrial fibrillation is reported. Coronary artery disease is a very common disease. It effects 1 in 5 people of the population and is the leading cause of death in the developed world (Casser, Holmes, Rihal, Gersh, 2009). It is caused by the process of progressive narrowing of the coronary arterial lumen that supplies the heart with blood and oxygen (Copstead et. al., 2000). This disease process not only increases the risk of myocardial ischemia in people that develop it, but it is also the leading cause of myocardial ischemia. (Copstead et. al. 2000).

Case study background

The narrowing of the arterial lumen is caused by plague, which is primarily made up of lipids. (Falk, et. al. 2006) these lipids accumulate in the wall of the artery and once approximately 75% of the lumen is blocked the blood flow is significantly reduced (Copstead and Banasik, et. al. 2000). Most evidence points to the fact that hyperlipideamia is the major factor in the development of coronary artery disease (Copstead et. al 2000). This is supported by Karalis (2009) who indicates that elevated levels of LDL, or low density lipoprotein cholesterol, is a major cause of coronary artery disease and that the lowering of LDL coincides with a reduction of coronary events and death.

While studying this disease an overview of the pathogenesis of the disease process at a cellular level helps explain coronary artery disease further. On a cellular level, endothelial cells, leukocytes and smooth muscle cells are the major components of the development of this disease (Falk 2006

There are many varying risk factors for coronary artery disease. The person in this case study could be considered to be at high risk of developing coronary artery disease due a number of risk factors that are involved. Diabetes is identified as being a major contributor in increasing the risk of developing coronary artery disease (Phillips et. al.2008). Although women in general have one fifth the risk of developing coronary artery disease than men, women who develop diabetes are at greater risk than men to the dangers of coronary artery disease (Phillips et. al. 2008).

These two identified risk factors places the person in the case study at high risk due to the combination of diabetes and gender. Diercks, et. al. 2005 also identify that cardiovascular disease is the leading cause of death for women with diabetes than those without. The effect that diabetes has with relationship to coronary artery disease cannot be under ...