Assignment Task:
A 71-year-old woman presented to the emergency department after two hours of severe chest pain. In the preceding three months she had had several episodes of effort-induced angina. Her present pain had arisen without provocation and had not responded to several nitroglycerin tablets. Her medical history was significant for hypertension and adult-onset diabetes. Her heart rate was 120 and blood pressure was 170/96. An ECG showed atrial fibrillation and the diagnosis was acute anterior myocardial infarction. Initial therapy included supplemental oxygen, intravenous nitroglycerin, metoprolol, morphine and heparin. The patient was also given chewable aspirin (160 mg), after which she was transferred to the cardiac catherization laboratory. Coronary angiography showed the left anterior descending (LAD) artery was open at its origin but completely occluded just distal to the first diagonal artery due to a newly formed thrombus.Give an overview of the diagnosis including risk factors and how they cause or contribute to adaptation or pathogenesis. Give an in-depth discussion of the pathophysiology of your diagnosis as it occurs over time; include signs, symptoms, diagnostic studies and the underlying pathophysiologic process causing these signs and symptoms. Support this pathophysiology with high level evidence. Summarize treatments and outcomes in terms of pathophysiologic alterations. Need Assignment Help?