ECO 100 Lecture Notes - Lecture 5: Pneumonia, Exudate, Respiratory Tract
Document Summary
A 60 year male presents to the emergency department with a 4 hour history of acute, retrosternal chest pain associated with nausea and profuse sweating (diaphoresis). He has a longstanding (10 years) history of atherosclerotic coronary artery disease with unstable angina and a documented anterior wall myocardial infarction 3 years previously. He is on coronary vasodilators and nitroglycerin as required (prn). On admission he is found to have very high levels of serum ck and an electrocardiogram (ecg) showed an acute posterior wall myocardial infarction. He is transferred to the i. c. u. where adequate support therapy is instituted. He, however, continues to have chest pain off and on during the following two days. He also develops right upper quadrant tenderness and shortness of breath. While in the i. c. u. he suffers from an arrhythmia eventually leading to cardiac arrest and death (5 days after admission). Coagulative necrosis of cardiac muscle cells with many neutrophils present between necrotic myocytes.
