MEDICAL DIAGNOSIS

ASHD, CAD, PROBABLE ACS, AF IN RVR > AVR, NOT IN FAILURE, CLASS IV D

ACUTE KIDNEY INJURY PROBABLY SECONDARY TO DECREASE ECV SECONDARY TO ARHYTHMIA (AF), PROBABLY SECONDARY TO ACS

DEFINITION OF TERMS

ASHD

CAD

ACS

AF

RVR

AVR

NOT IN FAILURE

CLASS IV D

DECREASED ECV

AKI

PATHOPHYSIOLOGY

ASHD CAD

ACS AF

ECV AKI

ATHEROSCLEROSIS

ASHD

FOAM CELLS

FATTY STREAK

FIBROUS PLAQUE AGINA/ INTERMITTENT CLAUDICATION

CORONARY ARTERY DISEASE

COMPLICATED PLAQUES

CAD THROMBUS

MYOCARDIAL ISCHEMIA

NAUSEA VOMITING

ANGINA

COOL & CLAMMY

EXTREMITIES DIAPHORESIS

ACS

MYOCARDIAL ISCHEMIA

PRINZMETAL ANGINA

SILENT ISCHEMIA

MENTAL STRESS-INDUCED ISCHEMIA

ACUTE CORONARY SYNDROME

ACS

UNSTABLE ANGINA

DYSPNEA, TACHYCARDIA, DIAPHORESIS, ANXIETY, PULMONARY CONGESTION

ACS: MYOCARDIAL INFARCTION

MYOCARDIAL INFARCTION

NONSTEMI & STEMI

CATECHOLAMINE

ARRHYTHMIA

NONSTEMI & STEMI

Cause:

Thrombus partially or intermittently occludes

the coronary artery (NONSTEMI)

Thrombus fully occludes the coronary artery (STEMI)

NONSTEMI & STEMI

Signs and Symptoms

Pain with or without radiation to arm, neck, back, or epigastric region

Shortness of breath, diaphoresis, nausea, lightheadedness,

Tachycardia, tachypnea, hypotension or hypertension,

Decreased arterial oxygen saturation (SaO2)

Rhythm abnormalities

Diagnostic Findings

NONSTEMI & UNSTABLE ANGINA

ST-segment depression or T-wave inversion on electrocardiography

Cardiac biomarkers are elevated

STEMI ST-segment elevation or new left bundle

branch block on electrocardiography

Cardiac biomarkers are elevated

ARRHYTHMIA

ARRHYTMIA

RVR:STROKE VOLUME

AVR: MYOCARDIUM CONTRACTILITY

Cardiac Output: CATECHOLAMINE

ATRIAL FIBRILLATION (AF)

HYPERKALEMIA