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Posted: July 27th, 2022

Assignment 12: Risk for coronary heart disease

The affected person was a 48-year-old man admitted to the coronary care unit complaining of substernal chest ache. Through the four months previous admission, he famous chest ache radiating to his neck and jaw throughout train or emotional upsets. The ache dissipated when he discontinued the exercise or relaxed. The outcomes of his bodily examination have been basically regular besides for a systolic murmur heard greatest on the apex of the precordium and radiating into the left axilla.

Research

Outcomes

Routine laboratory work

Inside regular limits (WNL)

Cardiac enzyme research

Creatine phosphokinase (CPK), p. 167

235 items/L (regular: 55–170 items/L)

CPK-MB, p. 171

12 ng/mL (regular: zero–three ng/mL)

Lactic dehydrogenase (LDH), p. 293

120 items/L (regular: 90–200 items/L)

Serum aspartate aminotransferase (AST), p. 107

24 Worldwide items/L (regular: 5–40 Worldwide items/L)

Troponins, p. 451

18 ng/mL

Echocardiography, p. 820

Hypokinetic portion of the lateral left ventricle

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