1) what are the precursor risks for a heart attack?
2) I47yom reports to the office 2nd to acute CP (2nd visit to the office in a 2 week time period w/ chief complaint of CP--1st visit was told by primary "having muscle spasms in chest" tx'd with
an IM injection for pain in the office, prescribed Daypro and Muscle relaxor and sent home) and is evaluated by associate MD 2nd to the primary MD scheduled off for the day and EKG reveals pending AMI; associate calls the primary with detail findings and primary recommends sending pt to ER (told associate status was not going to be an emergency situation) for eval via car to a hospital 35-40 minutes away (does not specialize in AMI treatment) instead of prompting eval from the ER located across the street from the office (just seconds away) to find pt in active process of 2nd AMI when he arrives to the ER which prompts transfer to local Heart Institute Hosp via EMS, undergoes emergent Lt Heart Cath revealing 100% occlusion of LAD requring stenting using bare metal stent. What is your intake of the process of care handled in this case?
1. CAD risk factors such as elevated cholesterol, htn, smoking, DM, family history age and sex. Inflammation, as we now begin to understand, is a risk factor for having an MI. There are blood markers such as CRP or MPO that can test for that.
2. Given your age and your risk factors I would say that the initial doctor there did not handle this right, but i am not going to judge him. He may have had other reasons to go that route. Of course, you got the worst of it. As far as the transfer is concerned, it is better that you were moved to a more experienced heart center that can deal with MI's faster.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.