John, an overweight 49-year-old man with history of diabetes and hypertension is
ID: 244002 • Letter: J
Question
John, an overweight 49-year-old man with history of diabetes and hypertension is playing soccer. After half an hour of an intense game, he feels severe chest pain that travels to his lower jaw. He is pale, diaphoretic, and short in breath. Upon arrival to the ER, an ECG was taken and the results show the following (note the changes in leads II, III and aVF):
Choose 3 out of the 5 prompts and answer:
John, an overweight 49-year-old man with history of diabetes and hypertension is playing soccer. After half an hour of an intense game, he feels severe chest pain that travels to his lower jaw. He is pale, diaphoretic, and short in breath. Upon arrival to the ER, an ECG was taken and the results show the following (note the changes in leads II, III and aVF):
Choose 3 out of the 5 prompts and answer:
- What could be the possible reason for John’s chest pain? Explain your answer based on the clinical information.
- How do you know John’s chest pain is heart related? How do you rule out other etiologies of chest pain such as musculoskeletal, pneumonia, and gastric sources?
- What actions should John’s teammates have taken at the scene to help him?
Explanation / Answer
What could be the possible reason for John’s chest pain? Explain your answer based on the clinical information.
Atrial fibrillation is an uneven and frequently quick heart rate that can upsurge your jeopardy of stroke, heart failure and additional heart connected problems.
Through atrial fibrillation, the heart's two upper chambers beat confusedly and erratically, out of organization using the two lower chambers of the heart. Atrial fibrillation indications frequently comprise heart tremors, shortness of breath and faintness.
Incidents of atrial fibrillation can originate and go, or John might grow atrial fibrillation that doesn't go missing and might necessitate conduct. Though atrial fibrillation - this one typically isn't life intimidating, it is a grave medicinal illness that occasionally necessitates emergency conduct.
How do you know John’s chest pain is heart related?
Approximately people with atrial fibrillation have no indications and are ignorant of their illness until it's exposed through a physical inspection. Those who do partake atrial fibrillation indications might practice signs and indications such as:
-Tremors, which are feelings of a competing, painful, asymmetrical heartbeat or a flip slackening in your chest
-Faintness
-Abridged capability to workout
-Exhaustion
-Dizziness
How do you rule out other etiologies of chest pain such as musculoskeletal, pneumonia, and gastric sources?
There are countless reasons of chest pain. The unique that medics concern about the greatest is cardiac since it has the possible to be life intimidating. Noninvasive examinations to identify coronary artery illness are not all faultless in option up abridged blood flow to the heart in all individuals; particularly in those with augmented body mass index or singular inhabitants. Consequently, if one has indications of coronary illness but have been expressed they are not cardiac in nature, John might want to get an additional estimation at a Center with experience in analytical testing. On one occasion coronary illness is truthfully ruled out the work up can continue at a additional unhurried step.
What actions should John’s teammates have taken at the scene to help him?
If John have any indications of infrequent atrial fibrillation, he should make an appointment with medic. The medic might command an electrocardiogram to control if your indications are connected to atrial fibrillation or additional heart rhythm disorder known as arrhythmia. If John has a chest pain, his networks can chase spare medical aid directly. Chest pain could indication that he is consuming a heart attack.
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