RT Book, Section
A1 Greenberg, Raymond S.
A2 Greenberg, Raymond S.
SR Print(0)
ID 1108590565
T1 Diagnostic Testing
T2 Medical Epidemiology: Population Health and Effective Health Care, 5e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-182272-5
LK accessbiomedicalscience.mhmedical.com/content.aspx?aid=1108590565
RD 2024/04/20
AB Mrs.  D.,  a  68-year-old  divorced  mother  of  three  children  and  retired  grocery  store  employee,  presented  to  the  emergency  department  with  the  sudden  onset  of  indigestion,  weakness,  shortness  of  breath,  and  fatigue.  The  patient  was  a  cigarette  smoker  with  a  history  of  hypertension  that  was  poorly  controlled,  with  intermittent  adherence  to  prescribed  medications.  Upon  examination,  the  patient  was  anxious,  sweating,  and  breathing  rapidly.  Both  her  heart  rate  (86  beats/min)  and  blood  pressure  (178/112  mm  Hg)  were  increased.  Blood  was  drawn  and  revealed  elevated  levels  of  both  troponin  and  creatine  kinase.  An  electrocardiogram  indicated  ST  segment  elevation,  and  Mrs.  D.  was  diagnosed  with  an  acute  ST  segment  elevation  myocardial  infarction  (STEMI).