She is progressing in her exercise program and tolerating activity. On the other hand, Patient R and Patient L have the worst prognoses of the women presented in this vignette. What are some of the complications associated with each of these medical and surgical therapies? Case presentation We describe here a case of a 49-year-old woman with a history of prior myocardial infarction who continued to be asymptomatic after a 10-year follow-up, in the absence of a high-risk profile for adverse outcomes. Case Study A 60-year-old man presents to your office for routine follow-up and medication refills for hyperlipidemia and hypertension. Body Image Disturbance: This is a potential nursing diagnosis for Patient Y given her feelings of depression in the postdischarge phase. Ability to return to work and previous hobbies and pastimes would be an important area to assess in this regard.
Proper positioning helps in draining secretions. Based on this assessment, cardiovascular risk factors were identified and the patient was instructed on risk factor modification. She rated her pain an 8 on a 0 to 10 scale and did not report an appreciable decrease in her pain level after the first nitroglycerin dose. What nursing diagnoses would be appropriate for this patient during hospitalization? Cardiac catheterization revealed three-vessel disease. Screening for coronary heart disease with electrocardiography: U.
She had suffered from dyspepsia, increasing over recent weeks, and the general practitioner had noted a new murmur. What special implications do these diagnoses have in women? The patient was, however, reluctant to accept a lipid-lowering drug and wished to await the effects of life style changes. However, they also tend to vary considerably over time, and intra-individual variation needs to be taken into account in analyses. Although not brought on by exertion, the chest pain was associated with dyspnea, pallor, diaphoresis, nausea, and epigastric discomfort. However, in our patient, routine non-invasive imaging studies, such as nuclear stress testing or stress echocardiography would not have provided any new information for a better risk- and prognosis stratification.
She was treated in the cardiac catheterization lab for coronary artery disease. She would also benefit from gender-specific patient teaching aids, if available, so she could relate to the unique concerns and needs of women who have faced heart disease and cardiac surgery. For lowering cholesterol, it was suggested that butter should be replaced by plant sterol or plant stanol containing margarine to achieve and intake 2 g of plant sterols or stanols per day. This valuable data helps direct where we want to go programmatically. Access to more money means people can access a wider range of foods, many of which are unhealthy e.
Research suggests that women experience more days of restricted activity due to continuing cardiac symptomatology, such as recurring chest pain and dyspnea. However, despite this recent success, only a small fraction of the genetic contribution to risk has been explained. Both of these cardiac events were medically managed. Never having witnessed these symptoms before, Patient H's husband and daughter transported her to the local emergency room. After doing some research online, I guessed I had a yeast infection and purchased your program.
What special implications do these diagnoses have in women? In other words, risk factors work together in increasing an individual's risk of developing coronary heart disease. Increasingly important is the application of surgical revascularization for occult or overt ischaemia in patients with heart failure. However, there were useful reductions in recurrent hospitalization after the addition of digoxin. It is a real game-changer. She described the chest pain as a substernal burning sensation that radiated across her precordium to her shoulder region bilaterally and then to her neck and jaw.
Oral combination diuretic therapy with the addition of a thiazide drug such as bendrofluazide is one option. Preliminary reports of this study suggest that mortality is significantly reduced by this combination. The chest pain syndrome experienced by Patient M is typical for women. Laboratory tests including serum glucose, lipids, blood count, liver-, kidney- and thyroid-function tests were within normal limits. There are few instances where a supervised increase in physical exercise is not of benefit to the patient with heart failure.
Because she is more than 30% overweight, she is at a tremendously increased risk of coronary heart disease due to the added stress on her heart and the changes that occur in lipid metabolism when fat is distributed in the abdominal versus gluteal region. Introduction Although acute myocardial infarction is generally associated with obstructive coronary artery disease, myocardial infarction associated with normal coronary arteries is a well-known condition. Another major factor that would help prevent a major cardiac event is for her to quit smoking. The data is being used to determine if the organization is on-track to meet its goals, or if it needs to shift strategies, allocate more resources to certain areas, or develop other strategies. The benefits of screening clearly outweigh the harms in this patient.