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Patient Education Reference Center - Case Scenario #4 - Myocardial Infarction

Clinical Case Scenario #4

Treatment of Acute Coronary Syndrome in 66- Year Old Female with Impending Myocardial Infarction

Clinical Scenario

Ms. B., a 66 year old patient with a history of hypertension and angina, presents to the ED with severe chest pain. In the last hour, she has become lightheaded, and, remembering the signs of heart attack, she is seeking diagnosis and treatment.

After an ECG and other tests, it is determined that Ms. B has acute coronary syndrome. The cardiologist explains the condition, and the risks and benefits of cardiac revascularization. Ms. B is taken to the cath lab for angioplasty and placement of a stent. The procedure is successful and blood flow is increased to the heart muscle.

After Ms. B is admitted to a telemetry Unit, the primary care nurse prints several handouts to assist in teaching her more about her diagnoses and procedures. The nurse uses the Basic search option in Patient Education Reference Center (PERC) to find conditions: Angina, Acute Coronary Syndrome, Cardiac Catheterization, and Coronary Angioplasty. Together they review the handouts to enhance Ms. B’s understanding of her treatment.

She will be discharged in the next day. Discharge instructions include information about Preventive Cardiology: Aspirin; Preventive Cardiology: Beta Blockers; Discharge Instructions for Angina; and Discharge Instructions for Acute Coronary Syndrome; Heart-Healthy Diet, and Cholesterol-Lowering Diet.

Handouts for ACS, and Cardiac Procedures in PERC Folders

ACS
     Angina
     Acute Coronary Syndrome

Procedures
     Cardiac Catheterization
     Coronary Angioplasty

Meds, Diet, Lifestyle
     Discharge Instructions for Angina
     Discharge Instructions for Acute Coronary Syndrome
     Preventive Cardiology: aspirin
     Preventive Cardiology: Beta Blockers
     Heart Healthy Diet
     Cholesterol-Lowering Diet