Provide a possible diagnosis for the following Cardiovascular Case. A 64 year old male was brought to the emergency room due to severe chest heaviness and dyspnea 30 minutes ago upon waking up this morning. He is has diabetes mellitus and hypertension for the past 20 years, but neither takes his medications regularly nor follows up with his internist. He is a banker for the past 40 years and loves to spend his weekend in a drinking spree with his close friends. He also smokes 10 sticks of cigarettes since he was in high school. He usually feels some mild chest heaviness when walking long distances but feels improvement after he rests. For the past week, he is stressed because of the demands of his work and slept in the late hours of night due to his work-from-home set-up. He has a family history of coronary artery disease and myocardial infarction, as well as hypertension and diabetes. At the emergency room, he is restless due to persistent angina and dyspnea. His Blood Pressure is 80/40 mmHg, Heart rate is regular at 140 bpm, Respiratory rate 28 cpm, and O2 saturation of 87%. On auscultation, his cardiac rhythm is regular, S1 and S2 are normal, with presence of S3 and bibasal rales. He has grade 3 bipedal edema. His ECG showed ST-segment elevation of the anterior wall.
Provide a possible diagnosis for the following Cardiovascular Case.
A 64 year old male was brought to the emergency room due to severe chest heaviness and dyspnea 30 minutes ago upon waking up this morning. He is has diabetes mellitus and hypertension for the past 20 years, but neither takes his medications regularly nor follows up with his internist. He is a banker for the past 40 years and loves to spend his weekend in a drinking spree with his close friends. He also smokes 10 sticks of cigarettes since he was in high school.
He usually feels some mild chest heaviness when walking long distances but feels improvement after he rests. For the past week, he is stressed because of the demands of his work and slept in the late hours of night due to his work-from-home set-up.
He has a family history of coronary artery disease and myocardial infarction, as well as hypertension and diabetes.
At the emergency room, he is restless due to persistent angina and dyspnea. His Blood Pressure is 80/40 mmHg, Heart rate is regular at 140 bpm, Respiratory rate 28 cpm, and O2 saturation of 87%. On auscultation, his cardiac rhythm is regular, S1 and S2 are normal, with presence of S3 and bibasal rales. He has grade 3 bipedal edema. His ECG showed ST-segment elevation of the anterior wall.
Step by step
Solved in 2 steps
