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    1. QUESTION

    Veins and arteries are vital elements of the cardiovascular system. They carry the blood supply through the body and are essential for proper function. Sometimes veins and arteries malfunction, resulting in cardiovascular disorders. Malfunctions of arteries and veins are similar to malfunctions of a water hose. Consider the structure and function of a hose. A tap releases water, which then travels through the hose and comes out the other end. If the hose has been dormant for several months, dirt and rusty particles might build up inside, resulting in a restricted flow of water. Similarly, buildup of plaque inside the coronary arteries restricts blood flow and leads to disorders such as coronary heart disease. This disease is one of the most common cardiovascular disorders, and according to the National Heart, Lung and Blood Institute (2011), is the leading cause of death for men and women in the United States. In this Discussion, you examine the pathophysiology of cardiovascular disorders such as coronary heart disease.

    To Prepare

    Review this week’s media presentation on alterations of cardiovascular functions, as well as Chapter 24 in the Huether and McCance text. Identify the pathophysiology of cardiovascular disorders.
    Select one patient factor: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of cardiovascular disorders.
    Select one of the following alterations of cardiovascular disorders: peripheral arterial disease, myocardial infarction, coronary artery disease, congestive heart failure, or dysrhythmia. Think about how hypertension or dyslipidemia can lead to the alteration you selected.
    By Day 3
    Post a description of the pathophysiology of cardiovascular disorders, including how the factor you selected might impact the pathophysiology. Then, explain how hypertension or dyslipidemia can lead to the alteration you selected for patients with the factor you identified.

    Main Posting:
    Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.–

    Outstanding Performance 44 (44%) – 44 (44%)
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    Timely and full participation–

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    Post to colleague’s main post that is reflective and justified with credible sources.–

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    Second Response:
    Post to colleague’s main post that is reflective and justified with credible sources.–

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    Competent Performance 7.5 (7.5%) – 8 (8%)
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    Writing–

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    Proficient Performance 4.5 (4.5%) – 4.5 (4.5%)
    Room for Improvement 0 (0%) – 4 (4%)
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    Timely and full participation–

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Subject Nursing Pages 3 Style APA

Answer

Myocardial Infarction

 

Myocardial infarction is a condition that is a sequelae of decreased perfusion of the myocardial tissue (Reed, Rossi & Cannon, 2017). Blood that is supposed to provide oxygen and nutrients to the cells doesn’t reach the destination. Myocardial infarction can be classified as either acute or chronic. Acute is when the event occurs for the first time, while multiple repeated events of acute lead to infarcted tissues. The major causes associated with myocardial infarction are hyperlipidemias/increased cholesterol levels, hypertension, diabetes, smoking, familial history, as well as other predisposing heart diseases such as cardiomyopathies. In this essay, the relevance of how hypertension increases with age, and how it predisposes one to myocardial infarction.

Hypertension is divided into two; primary and secondary (Lacruz et al., 2015).  Primary is associated with age, as well as high salt intake (Burford, T. W., 2016). Secondary hypertension on the other hand is associated with lifestyle such as obesity. When one develops hypertension especially uncontrolled hypertension, it damages the vessels since, hypertension is one of the leading factors that damage the arteries and hence arteriosclerosis. Arteriosclerosis leads to the development of plaque, which can either be stable or unstable. The unstable plaque isn’t aligned by a fibrous capsule which increases it chances to rupture.  When it ruptures, the clot travels to the heart where it clogs left circumflex coronary majorly (Ghanim et al., 2017). The end result is the affected region becomes ischemic and hence a red infarct develops.

Acute inflammation then occurs, with neutrophils degrading the infarcted tissues, which finally leads to a dark scar on the myocardial tissue. Finally, the heart starts to contract unsymmetrically and hence conditions such as heart failure and cardiomyopathies develop.

 

 

References

Baron, T., Hambraeus, K., Sundström, J., Erlinge, D., Jernberg, T., Lindahl, B., & TOTAL-AMI study group. (2015). Type 2 myocardial infarction in clinical practice. Heart101(2), 101-106.

Lacruz, M. E., Kluttig, A., Hartwig, S., Löer, M., Tiller, D., Greiser, K. H., Werdan, K., … Haerting, J. (2015). Prevalence and Incidence of Hypertension in the General Adult Population: Results of the CARLA-Cohort Study. Medicine94(22), e952.

Ghanim, D., Kusniec, F., Kinany, W., Qarawani, D., Meerkin, D., Taha, K., Amir, O., … Carasso, S. (2017). Left Circumflex Coronary Artery as the Culprit Vessel in ST-Segment-Elevation Myocardial Infarction. Texas Heart Institute journal44(5), 320-325. doi:10.14503/THIJ-16-5905

Burford, T. W. (2016, March). Hypertension and Aging. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768730/

Reed, G. W., Rossi, J. E., & Cannon, C. P. (2017). Acute myocardial infarction. The Lancet389(10065), 197-210.s

 

 

 

 

 

 

 

 

 

 

 

 

 

Appendix

Appendix A:

Communication Plan for an Inpatient Unit to Evaluate the Impact of Transformational Leadership Style Compared to Other Leader Styles such as Bureaucratic and Laissez-Faire Leadership in Nurse Engagement, Retention, and Team Member Satisfaction Over the Course of One Year

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