Reflection On Myocardial Infarction
This patient was a huge loss for myself and my partner since we felt responsible for the patient because we had spoken to him and his family prior to his arrest and reassured them that he would be fine since we, as well as the medical staff, assumed the patient was having an exacerbation of some sort and would his condition would be rectified by beta2 and ipratropium bromide nebulizers and would walk out of the hospital in a few hours with little to no permanent damage to his body. Neither myself nor my partner expected the patient to arrest and pass away so it came as a shock to us. Myself and my partner also tried more than once to get the doctor to see to the patient earlier because we could see he was in a critical state and at that time neither of us had the knowledge to identify a MI on our own and even less so since the patient did not have chest pain.
After we had reflected on the patient’s history and presentation we, with the help of the on
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Silent myocardial infarctions have a prevalence of 10% to 20% in diabetic patients. Autonomic neuropathy is a very common, yet serious condition that many diabetic patients suffer from which upset the balance between cardiac supply and demand. It’s defined as a disorder that affects nerves that are part of the autonomic system which control things such as the heart and blood vessels. This disorder can cause the heart to have to overcome more resistance from the blood vessels, afterload, which can lead to chronic high blood pressure causing left ventricular hypertrophy as well as a dysfunctional heart rate. The cardiac denervation is responsible for the patient’s having no chest pain which we normally associate with myocardial infarctions which, unfortunately, lead to many such patient’s to go undiagnosed and in some cases can cause death of it is severe
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