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dc.contributor.authorDoherty, Christine
dc.date.accessioned2013-12-23T14:38:53Z
dc.date.available2013-12-23T14:38:53Z
dc.date.issued2014-11
dc.identifier.urihttp://hdl.handle.net/10147/308926
dc.descriptionMichael is a 46 year old man who has recently been discharged from hospital with a diagnosis of acute coronary syndrome. He presented to the hospital initially complaining of 2 hour history of severe chest pain. Initially he thought it was indigestion and took some antacid. As there was no relief from the pain and it suddenly became worse and he also felt clammy and nauseated, his colleague brought him straight to A and E. Previous history: Indigestion and some shortness of breath on exertion in recent months Medications: Nil Allergies: Nil known Smoking status: 20/day for 25 years approx. Alcohol history: Drinks in excess of 35units/week as beer/wine. Family History: Father died suddenly 15 years previously of a heart attack. Mother is a diabetic. Michael was admitted for investigations and treatment. His admission ECG showed ST elevation in inferior leads. His troponin levels were elevated. He was taken to the coronary angiogram lab and had a coronary angiogram performed. His right coronary artery (RCA) was 90% blocked with minor disease in the other coronary arteries. A drug eluting stent was inserted into the RCA. Michael spent 2 days in the coronary care unit before transfer to a ward and then discharged home.en_GB
dc.language.isoenen
dc.publisherNursing in General Practiceen_GB
dc.subjectCARDIOVASCULAR DISEASEen_GB
dc.subjectCIRCULATORY DISEASEen_GB
dc.titleESC CVD prevention guidelines 2012en_GB
dc.typeArticleen
dc.identifier.journalNursing in general practiceen_GB
refterms.dateFOA2018-08-23T10:37:46Z


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