Coronary Artery Disease Case Study

oronary Artery Disease Case Study

Coronary Artery Disease Case Study

The patient Mrs. Emma Stone is an66-year-old woman.She arrived at the emergency room and complains of chest pain,tightness,heaviness,and pressure in the chest behind the chest bone,fatigues weakness and shortness of breath on 10th Feb 2019.Her vital sign was measured by the nurse. The blood pressure was higher than normal 175/100 mmHg and pulse rate was also higher than normal 85 beats per minute.Her body weight was greater than BMI.The physical examination reveals the left upper limb swelling.The lung,abdominal examination was normal. On asking about the severity of pain,she told that the pain radiates to her left arm.She was referred to a cardiologist. The cardiologist prescribed her laboratory tests.All the laboratory tests indicate hyperglycemia, hypercholesteremia, higher LDL level, and low HDL level.Angiography revealed 70% blockage of the right coronary artery and circumflex artery.Coronary Artery Disease Case Study

Don't use plagiarized sources. Get Your Custom Essay on
Coronary Artery Disease Case Study
From $10/Page
Order Essay


Miss Emma Stone was admitted to the hospital on 12th February 2019 and was suggested for the angioplasty.The patient was subjected to the angioplasty.The angioplasty for the occluded right coronary artery and the stent placement in the circumflex artery went successful.

Mrs.Emma stone was discharged with a followup.

Social History

Mrs. Emma Stone is a habitual drinker.She consumes a large amount of alcohol on daily basis.She is a smoker also.She lives alone after the death of her husband in a suburban area.She is an old lady with not many friends.The two visitors to her in her brother and sisters.Her three children usually stay away for hometown due to work and study.She reported that last time she went for a walk almost a fortnight passed.Shetries to cook food at home but mostly consumes readily to eat food as she is not well, and has no one to cook for her.She remains at home and watches TV.She was brought to the hospital by her neighbors after she called them and ask for help as she was not feeling well.Coronary Artery Disease Case Study

  Past  Medical History

The patient electronic health records showed that she has a past history of diabetes, obesity, hypertension,asthma,depression, and moderate alcoholic hepatitis.She has been taking metformin, glibenclamide for diabetes, Beta-1 selective blockers atenolol for hypertension,for asthma nebivolol, Selective serotonin reuptake inhibitors escitalopram for depression and pentoxifylline for alcoholic hepatitis.

Surgery history

The patient electronic health records showed that she had a cesarean section three times in her life,during the birth of her three kids.In addition to the c-section, she also had cholecystectomy for the removal of gallstones.Some years back she had appendectomy for appendicitis.

Family history

She belongs to the Hispanic black family.Her husband was a salesman at a nearby store.Her husband was a heavy smoker with COPD and died of lung cancer at the age of 62. She had three children.One daughter and two sons,who remained out of home for the study and work.She has a family history of diabetes and hypertension.Her mother passed because of a heart attack.Her sister went angioplastya year ago.She also had a brother,who has diabetes and hypertension.As a Hispanic black family and low socioeconomic status, her access to the health care system is always restricted. Previously she was helped by her brother financially for cholecystectomy.

Health Maintenance         

Mrs.Emma stone is a lonely woman.She lives alone at this old age and has nobody to take care of her.She is fatigued and weak physically.She likes to cook but is not able to because of weakness,dizziness she mostly felt.She has developed depression due to loneliness and fewer visitors.She consumes alcohol and smokes, which has worsened her asthma and alcoholic liver disease.She also has diabetes and hypertension.She doesn’t consume healthy meals, and this has made her cholesterol, glycemic index worsen.Due to depression,she is not able to sleep properly and this has increased her fatigue and weakness the next morning.She is too older to cook for herself is this disease profile.There is no caretaker for her.Coronary Artery Disease Case Study

Current Medication

After angiography, she was discharged with the followup.Her current medication regimen was aspirin.The use of aspirin prevents clot formation, by inhibiting the Thromboxane A2 and prostacyclin,thereby inhibiting the platelet aggregation.HMG coenzyme Areductase inhibitors inhibit the HMG coenzyme A reductase inhibits the synthesis the cholesterol.Ranolazine along with the nitroglycerine is prescribed to alleviate the chest pain and meets the oxygen demand of the heart.

Epidemiology of the disease

Cardiovascular diseases are the leading cause of death around the world.Although the mortality due to the coronary heart diseases has been reduced in the past few years, still it is the leading causes of death in individuals more than 35 years of age ( Gomar et al, 2016).According to the Danish population data study from 1977 to 2011,about 5654 individuals were diagnosed with CAD,without follow-up ( Ben, 2012).

Rana et al studied the prevalence of coronary artery disease in diabetes and non-diabetes patients and concluded that CAD was observed more in DM patients than those without DM. Rudisch & Nemeroff studied the co-morbidity of depression and CAD,and find out that 17% to 27% of patients with CAD have depression also.( Rudisch & Nemeroff, 2003).According to data by National Heart, Lung and Blood Institute Survey study, about 15.4 million Americans at the age of 20 have CAD.The prevalence increases with increasing age in both men and women.( Mack & Gopal, 2016).Coronary Artery Disease Case Study

Pathophysiology of disease

The mechanism behind the pathophysiology of CAD is the formation of atherosclerotic plaques, which involves oxidative stress, endothelial dysfunction, immunological and inflammatory factors. Endothelial damage in the CAD is caused by oxidative stress. The oxidative modification of lipoprotein is involved in the pathophysiology of CAD. This promotes the incorporation of cholesterol in the atherosclerotic plaque. The endothelium-derived relaxation by the production of the NO is lost in atherosclerosis. (Torress et al, 2013). Paraoxonases are the three enzymes that involve in antioxidation system. The alteration in these enzymes is associated with oxidative stress. The paraoxonases are involved in the pathogenesis of coronary artery disease.(Abello et al, 2014).

Expected Findings

The patient should change her sedentary lifestyle.She should have regular visitors to treat her depression. As literature has proved that there is a comorbidity of the depression and coronary artery disease. Mrs.Emma stone should join some physical activity club, where she can make some friends and physical activity will also reduce her hypercholestermia and decrease the incidence of further plaque formation,which can occlude the artery. Finally, I think she needs a caretaker who can help her with cooking so that she consume good healthy food.Coronary Artery Disease Case Study

Pharmacological Treatment

There is two types of medications used in coronary artery disease patients.Antiplatelets to prevent blood clots and statin which protect blood vessels.Beta blockers are also used to reduce the workload of the heart in patients.Aspirin (Acetylsalicylic acid ) and clopidogrel are used in CAD.Statin is the drug that lowers the level of cholesterol.Statins also have a protective effect on the blood vessels.Beta blockers act on the beta2 receptors on the heart and reduce the cardiac output and heart rate.eptifibatide & ticlopidine are also used.Bile acid sequestrants cholestyramine, colesevelam hydrochloride, colestipolhydrochloride, and fibrates fenofibrate are also used in CAD.( Lippincott, 2018)Coronary Artery Disease Case Study


Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 20% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with My Course Writer
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 10k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Thank you! It was great :)
Customer 452483, July 26th, 2021
Good job. Thank you
Customer 452487, September 16th, 2021
Healthcare Writing & Communications
Excellent!! You’re awesome, thank you very much for all of your hard work & help!!
Customer 452483, October 24th, 2021
I appreciate the help.
Customer 452567, March 18th, 2022
Introduction to Sociology
Thank you very much for all of your hard work!
Customer 452483, October 15th, 2021
Biology (and other Life Sciences)
Power Point Presentation was great, appreciate all of your hard work. Thank you!
Customer 452483, August 9th, 2021
Customer 452483, July 5th, 2021
Appreciate all of your hard work! Thank you so much!!
Customer 452483, September 14th, 2021
English 101
Amazing thank you!
Customer 452615, August 1st, 2022
English 101
I would like to thank you for the writing, it was a very busy week for me and had no time this week to do a writing. I would recommend you to others and would utilize you again.
Customer 452639, October 16th, 2022
Excellent job! super recommended.
Customer 452487, August 24th, 2021
Thank you so much! Appreciate it!
Customer 452483, November 8th, 2021
Customer reviews in total
Current satisfaction rate
2 pages
Average paper length
Customers referred by a friend
20% OFF your first order
Use a coupon 20OFF and enjoy expert help with any task at the most affordable price.
Claim my 20% OFF Order in Chat