[Verified Answer]: MYOCARDIAL INFARCTION D

MYOCARDIAL INFARCTION D.M., a 51-year-old, successful executive, is rushed to the hospital by ambulance after experiencing crushing substernal chest pain that radiates down his left arm. He also complains of dizziness and nausea. Subjective Data Has a history of chronic stable angina and hypertension States he is “borderline diabetic” Overweight but recently lost 10 pounds Rarely exercises Has three teenage children who are causing “problems” Recently experienced loss of best friend and business partner, who died from cancer Objective Data Physical Examination Diaphoretic, short of breath, nauseous BP 165/100 mm Hg, pulse rate 120/min, respiratory rate 26/min Diagnostic Studies -12-lead ECG shows sinus tachycardia with ST elevation in leads II, III, aVF, V5, V6 with occasional premature ventricular contractions Cardiac-specific troponin I level elevated Cholesterol