This type of chest pain occurs when one or more of the coronary arteries are either blocked or narrowed. This can cause an uncomfortable pressure, fullness, and a squeezing sensation in the center of the chest. Known triggers are exertion and emotional stress. Stable angina is usually relieved with rest and medication such as nitroglycerin.
Congestive Heart Failure Heart failure, also known as congestive heart failure, occurs when the heart no longer pumps blood as it should. With heart failure, the blood moves through the heart and the body at a slower rate. When this happens, the heart's pressure increases, and the heart could no longer pump oxygen and nutrients that the body needs. To avoid further damage, heart failure must be treated immediately. In line with this assertion, this paper will discuss the objective data, current treatments, diagnosis, social history, medical history, diagnostic studies, care plan, and client teaching of congestive heart failure.
Pulmonary edema or congestion happens when the left ventricle of the heart fails. This is simply because the inefficiency of its ventricle to pump effectively causes the blood to back up to the pulmonary capillaries as the pulmonary venous blood rises its pressure into the tissues and alveoli impairing the gas exchange. Pulmonary congestion will be manifested in crackles, difficulty of breathing, frothy pink-tinged sputum and shortness of breath. In addition, the decreased amount of blood ejected from the left side causes ineffective tissue perfusion. This is detrimental to other vital organs such as the kidneys.
The pleural space begins to fill causing the-the mediastinum to maneuver around, which can lead to disruption of the airflow and pulmonary circulation. Once the air circulation is disrupted the patient begins to compensate. Tension pneumothorax can be misleading if not realizing to symptoms. A patient with tension pneumothorax is going to have chest pain caused by the lung collapsing. The patient will experience respiratory distress causing the patient to breath faster because they are not getting the proper amount of oxygen, respiratory distress can lead to altered mental status and diminished breath
Hyaline membranes help to the development of fibrosis and atelectasis (collapse) essential to decrease in gas exchange capability and lung dysfunction. These changes cause the lungs to become stiff, patient work hard to inspire. Hypoxemia and the stimulation of juxtacapillary receptors in the stiff lung parenchyma leading to increase respiratory rate and decrease in tidal volume. Breathing irregular increase carbon dioxide removal,
The disease is characterized by weakening of the ventricular myocardial muscle, resulting from elongation of myocytes accompanied by a vacuolar sarcoplasm and reduced myofibril density.  Weakening of the heart muscle results in a decreased stroke volume, leading to compensatory changes by a process called remodeling. The remodeling is characterized by elongation of myocytes by addition of sarcomeres, resulting in dilation -enlargement - of the heart while the wall thickness does not increase proportionally. This process of remodeling can spread to the other ventricle and to the atria.  The long-term effects of the remodeling are a further weakening of the heart muscle and it can eventually lead to heart failure.
The next type of murmur is an abnormal one. These can be very dangerous and can be linked to an overworked heart valve. There are so many symptoms for this kind of murmur which include: chest pain, breathlessness, fainting for no reason, and heart palpitations. (WebMD Staff “Heart Murmur”). This murmur can absolutely be fatal if the patient have holes in their heart, heart valve issues, or any valve calcifications.
Right Coronary Artery. When these arteries are narrowed, the blood flow and oxygen circulation is forced to stop causing your body to have less movement. This is a very dangerous disease due to the fact that when the blood clot occurs in the body, your heart may stop pumping blood and inhaling/exhaling oxygen which leads to certain heart attacks and/or death.
Discussion Post Week Six NURS6521, N-11 As a primary care provider (PCP) one will encounter many patients with eye, ear, nose, and throat illnesses. For the purpose of the discussion, I will evaluate a case study for a child with one of the above issues. I will state a primary diagnosis and differential diagnoses. I will indicate the treatment and management of the primary diagnosis and educational strategies for the parents to aid in the reduction of any fears or concerns they may have.
My best diagnosis of this case from what the patient is presenting is Lyme disease. Here is how I came to that diagnosis, the doctor observes a circular bull’s eye rash approximately 5 inches in diameter, she was in infected wildlife area for 3 weeks and she stated to being bitten by flies, mosquitoes, and ticks, fatigued and tender joints discomfort. She also stated that she was in the wildlife for the month in May and June. Physical exam came up with fever, stiff joints, and neck, irregular heartbeat.