by
Module Four Myocardial Disease Case Studies
November, 2011
Abstract: It is important to assess the prescence of regional besiege motion abnormalities (RWMA) and thrombus undermentioned an ST elevated myocardial infarction. Echocardiography is often the preffered pricking when assessing these patients. It is non- invassive and can detect both RWMA and thrombus reliably. Echocardiography was used in the following case after an ST elevated myocardial infarction. The echocardiogram demonstated both RWMA and apical thrombus.
Case Presentation
A 61 year old staminate suffered an out of hospital cardiac arrest. The arrest was witnessed by his wife and basic life support was initiated in less than 6 minutes, with advanced life support being initiated with in 20 minutes. Epinephrine and amiodarone was given in route to the indispensableness subdivision. An external defibrillator was used to shock the patient into sinus rhythm, a total of 10 shocks was administered and cooling measures were also started. The patient arrived with an IV access and intubated.
Physical exam upon arrival to emergency department reported the patient to be tachycardic, normal blood wedge and unresponsive.
Patient was then transferred emergently to cardiac catheterization lab for Artic sun and cardiac stenting.
An echocardiogram was performed prior to the patient being sent to the cardiac catheterization lab. The echocardiogram showed an excommunication fraction of 15 20% with multiple regional wall motion abnormalities.
The coronary catheterization demonstrated that coronary arteria authorization was right, with a normal left main coronary artery and left circumflex artery.
The left main coronary artery was 40% foreclose by a single discrete lesion and
the proximal left anterior descending artery was 100% occluded with intracoronary thrombus present. The proximal right coronary artery was 20% obstructed by multiple discrete lesions and the distal segment was...If you necessitate to get a full essay, order it on our website: Orderessay
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