A 66-year-old male complaining of chest pain is Sought to the emergency room by ambulance The pain began six hours ago and has become more severe over the past hour prompting him to call emergency services He describes the pain as retro-sternal, pressure-like, and non radiating He had some mid dyspnea and nausea accompanying the pain He has also noted intermittent palpitations since last evening He has a past medical history of hypertension (not currently under treatment) and tobacco use of one pack per day of cigarettes for the past 47 years Vital signs on arrival to the emergency room show a blood pressure of 160/100 mmHg, a heart rate of 92 beats per minute, and a respiratory rate of 18 per minute His physical exam is unremarkable He reports no allergies and no medication use Both EKG and cardiac enzymes are pointing towards "anterolateral infarction' At hospital he got thrombotylic treatment In the first 4-5 hours post-thrombolytic treatment his chest pain and other sign and symptoms were disappeared However, two days after the onset of the chest pain he had a cardiac arrest and died His cardiac pathology image is seen here 1) What event is MOST LIKELY associated with this patient's chest pain? Acute MI

2) What type of cell injury was happened in patients' myocyte? Was it reversible or irreversible?

3) What kind of cell injury is observed in the above picture? Explain your observation

4) According to Selye which stage was he situated in before coming to ER?

5) What of reason/s do you think this patient died of despite proper treatment

Transcribed Image Text:

學 學

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1 The patient had complaints of retrosternal pain associated with dyspnea and palpitations The pat... View the full answer