Case 1 A 66-year-old male complaining of chest pain is brought to the emergency room by ambulance.

A 62-year-old female is admitted to the general medical unit upon recommendation from her oncologist because of "low blood counts."
November 13, 2019
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November 13, 2019

Case 1 A 66-year-old male complaining of chest pain is brought to the emergency room by ambulance.

Case 1 A 66-year-old male complaining of chest pain is brought to the emergency room by ambulance. The pain began six hours ago and has become more severe over the past hour prompting him to call emergency services. He describes the pain as retro-sternal, pressure-like, and non-radiating. He had some mild dyspnea and nausea accompanying the pain. He has also noted intermittent palpitations since last evening. He has a past medical history of hypertension (not currently under treatment) and tobacco use of one pack per day of cigarettes for the past 47 years. Vital signs on arrival to the emergency room show a blood pressure of 160/100 mmHg, a heart rate of 92 beats per minute, and a respiratory rate of 18 per minute. His physical exam is unremarkable. He reports no allergies and no medication use. Both EKG and cardiac enzymes are pointing towards “anterolateral infarction”. At hospital he got thrombolytic treatment. In the first 4-5 hours post-thrombolytic treatment his chest pain and other sign and symptoms were disappeared. However, two days after the onset of the chest pain he had a cardiac arrest and died. His cardiac pathology image is seen here: 1) According to Selye which stage was he situated in before coming to ER? 2) What of reason/s do you think this patient died of despite proper treatment

 

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