Author Archives: Anonymous
Patient Assessment The patient is a 58-year-old male who has…
Patient Assessment The patient is a 58-year-old male who has had angina for 3 years. His symptoms of substernal tightness occurs with exertion and is relieved promptly by rest (typical of angina). A treadmill stress test showed definate ST segment abnormalities consistent with myocardial ischemia at stage 3 of the test. In addition, the patient has multiple risk factors including hypertension, hypercholesterolemia, and a history of smoking. I have started the patient on Cardizem (a calcium channel blocker) as antianginal medication. If the patient has evidence of significant stenois in the future, he should undergo coronary angiography and possible Percutaneous coronary intervention from catherization. 1. What is the patient’s major symptom? A. Pain in his left arm B. High blood pressure C. High blood levels of cholesterol D. Chest pain 2. What did the treadmill stress test show? A. Hypertension B. Decrease in blood flow to the heart muscle C. Fracture of the breast bone D. History of smoking 3. What is the effect of Cardizem? A. increases blood pressure B. lowers blood cholesterol C. decreases myocardial ischemia D. promotes aortic stenosis What procedures are recommended? A. x-ray of heart blood vessels and ballon angioplasty with stent placement B. Coronary artery bypass surgery C. doppler scans D. Exercise tolerance test and radioactive dye
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