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    Pathophysio - Stemi - Final

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    PrincessDianne
    This patient is a 50-year-old female with hypertension and hypercholesterolemia who tested positive for COVID-19. She presented with chest pain rated 8/10 on the pain scale. Laboratory tests showed an elevated white blood cell count, low potassium, and acidosis. An ECG revealed an inferior ST elevation myocardial infarction involving the right ventricle. Her symptoms are consistent with inadequate blood flow and oxygen delivery to heart tissue due to an occluded right coronary artery, likely precipitated by COVID-19 infection.

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    Pathophysio - Stemi - Final

    Uploaded by

    PrincessDianne
    17 views4 pages
    This patient is a 50-year-old female with hypertension and hypercholesterolemia who tested positive for COVID-19. She presented with chest pain rated 8/10 on the pain scale. Laboratory tests showed an elevated white blood cell count, low potassium, and acidosis. An ECG revealed an inferior ST elevation myocardial infarction involving the right ventricle. Her symptoms are consistent with inadequate blood flow and oxygen delivery to heart tissue due to an occluded right coronary artery, likely precipitated by COVID-19 infection.

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    PATHOPHYSIO.-STEMI.-FINAL

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    This patient is a 50-year-old female with hypertension and hypercholesterolemia who tested positive for COVID-19. She presented with chest pain rated 8/10 on the pain scale. Laboratory tests showed an elevated white blood cell count, low potassium, and acidosis. An ECG revealed an inferior ST elevation myocardial infarction involving the right ventricle. Her symptoms are consistent with inadequate blood flow and oxygen delivery to heart tissue due to an occluded right coronary artery, likely precipitated by COVID-19 infection.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views4 pages

    Pathophysio - Stemi - Final

    Uploaded by

    PrincessDianne
    This patient is a 50-year-old female with hypertension and hypercholesterolemia who tested positive for COVID-19. She presented with chest pain rated 8/10 on the pain scale. Laboratory tests showed an elevated white blood cell count, low potassium, and acidosis. An ECG revealed an inferior ST elevation myocardial infarction involving the right ventricle. Her symptoms are consistent with inadequate blood flow and oxygen delivery to heart tissue due to an occluded right coronary artery, likely precipitated by COVID-19 infection.

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    Predisposing Factors Precipitating Factors

    - Age: 50 years old - COVID-19 positive


    - Sex: Female
    - Existing Condition: Hypertension,
    Hypercholesterolemia

    Injury and Inflammation of coronary


    vascular endothelium

    Cessation in the production of


    antithrombotic and vasodilating
    agents due to endothelial damage

    Laboratory
    Increase immune results: WBC =
    response 14,000 cells/mcL

    Lipids are transported to


    the arterial walls

    Accumulation of fatty
    deposits into plaque

    Plaque build-up
    Plaque Rupture

    Thrombus formation or blood clot

    Occlusion of the Right coronary


    Artery

    Absence of blood supply


    and O2 on the Myocardial Ischemia
    myocardium

    Muscle starving

    Anaerobic Metabolism Not enough O2 in the


    blood stream

    Decrease ATP

    Result:
    Chest Pain Chest pain/ Increase production
    Scale angina Lactic Acid
    8/10
    ABG Lab test: Decrease
    pH: 7.36, pCO2: Blood Acidosis
    Myocardial
    54mmhg contractility

    Inadequate
    Blood builds-up on the blood flow to
    Conductivity Disorder Decrease blood flow Result:
    heart and back-up on the the brain
    lungs (Pulmonary Lightheadedness
    through
    circulation) cerebral
    Dysrhythmia develops circulation
    Decrease Blood volume
    Result: Difficulty of taking
    a deep breath / dyspnea

    Lab test:
    K: 3.4 mEq/L Decrease O2 supply

    ECG Results:
    ECG II: Inferior STEMI
    ECG III: Inferior STEMI w/ Hypoxia
    RV involvement

    Release of
    Decrease Tissue Perfusion
    catecholamine

    Lab results:
    Glucose: 7.4 Diaphoresis Generalized Weakness

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