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Cardiac Function (Disease (ACS (Diagnosis (Serum markers (Myoglobin,…

- - - - Signs and symptoms
        
        Crushing
        
        Chest pain
        
        Radiate: arm, shoulder, jaw, back
        
        Concurrent: nausea, vomiting, diaphoresis, shortness of breast
        
        lasts more than 15 mins
        
        Unresolved using NTG
      - Serum markers
        
        Myoglobin
        
        Troponin-I
        
        CK-MB
      - EKG changes
      - Other
        
        Cardiac catheterization
        
        Echocardiography
        
        Radionuclide scintigraphy
    - - Prolonged or total disruption of blood flow to myocardium
      - Platelets passing by of the ruptured plaque adhere
  - - - Characteristic signs and symptoms
      - Medical history
      - Physical examination
    - - Diastolic disfunction
      - Systolic disfunction
    - - Baroreceptor response
        
        SNS activation
        
        Brain
        
        Increase HR and Contractility
      - RAAS activation decreases GFR
        
        Kindey
        
        Fluid retention
        
        Increase Preload
      - Ventricular wall tension
        
        Heart
        
        Myocyte growth
        
        Hypertrophy
  - - - Narrowing of the arterial lumen
      - Endothelial cells controlling myocardial blood flow
  - - - Low cardiac output, blood pressure down, heart rate fast
      - Severe dysfunction of the left, right, or both ventricles
    - - Increase myocardial workload
      - Oxygen demand
    - - Low SvO2
      - Respiratory alkalosis
      - Pulmonary edema
      - Pulmonary capillary pressure greater
- - - - Q=P/R
        
        Increase Pressure = Increase Blood flow
        
        Increase Resistance = Decrease Blood flow
    - - Myocardial contraction and relaxation
      - Coronary artery diameter
    - - Aortic blood pressure(ABP)
        
        Coronary driving pressure(P)=ABP-RAP
      - Right atrial pressure(RAP)
  - - - Increase Vessel diameter