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Myocardial lnfarction and Heart Failure (Compare the differences). Miranda,Natasha,Cecilia and Fadzai. MYOCARDIAL INFARCTION. Myocardial infarction (Ml) –loss of blood supply to the heart muscle due to a blockage in a coronary artery
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Myocardial lnfarction and Heart Failure (Compare the differences) Miranda,Natasha,Cecilia and Fadzai
MYOCARDIAL INFARCTION • Myocardial infarction (Ml) –loss of blood supply to the heart muscle due to a blockage in a coronary artery • The heart muscle need a good supply of blood ,the coronary artery takes blood to the heart muscle • This happens when one of it’s smaller branches is suddenly blocked. • Infarction means death of some tissues due to a blocked artery which stops blood from getting past
Causes of Ml • Coronary thrombosis and coronary embolism causes Myocardial Infarction. • Atheroma is a fatty patches or plaque that develop within the lining of arteries • Age • Smoking and Drinking • Obesity and high blood pressure • High blood cholesterol • Diet diabetes and family history • Lack of exercise • Stress • Previous heart attack and by pass heart surgery • Previous angioplasty-angina
Symptoms of Ml • Severe chest pain-radiates around the body • Sweat, feel sick • Shortness of breath • Anxiety • Coughing • Hypertension and tachycardia • Silent pain or heart attack
Facts • 20% of patients died within first hour, 10% in hospital, 5% of the 3 months and 3% in every year there-after. • 100.000 British people die every year from heart attack. • Before MI a person may feel a frightening sense that they about the die. • 20% of heart attacks are not diagnosed meaning sufferers have progressive heart muscle damage. • Severity depends on amount of heart damage and position.
Heart failure • “A pathophsyiological state in which an abnormality of cardiac function is responsible for failure of the heart to pump blood and a rate which is commensurate with the requirements of the metabolising tissues.” • Heart failure is a common complication of MI.
Causes of Heart Failure • Coronary Artery Disease ( for example, MI) • Chronic Hypertension. (Diastolic and Systolic heart failure) • Cardiomyopathy (For example, Dialated, Hyperthropic, Restrictive) • Valve dysfunction (For example, diseases of the aortic and mitral valve) • Cardiac arrhythmias/conduction disturbance (Heart block and artrial fibrillation) • Severe Anemia • Myocarditis
Hypertension can cause both Diastolic and Systolic Heart Failure.
Signs and symptoms • Breathlessness • Oedema • With severe heart failure Anorexia • Fatigue and lethargy • Sweating • Low blood pressure • Pale skin and sometimes cyanosis • Coughing and sometimes with frothy pink sputum.
Summary • MI: Blockage of arterial blood supply to the heart causing the muscle to die and be replaced by fibrous scar tissue. • Heart failure: failure of the heart to pump blood at a sufficient rate for metabolic requirement due to a number of disorders including MI.
References • A nurses survival guide to the ward/Richard .A and Edwards.S/2003 • NHS direct online • Hand ,H (2001) Myocardial infarction part 1& 2 Nursing Standard. • 15,36,45-53 • Kevin,T (2002) The Human Body in Health and Disease. 4th ED. • NHS direct online • Port C,M(1998) Pathophysiology,Concept of Health state Philadelphia PA Lippincotttt • Nicholas,M (2004) Heart Failure: pathophysiology. Treatment and nursing care. Nursing Standard. 19.11.46-51 • Oxford concise colour medical dictionary/editor Martin.E/ 2002/3rd edition • Tough, J (2004) Assessment and treatment of chest pain. Nursing Standard. 18. 37,45-53 • The complete home guide to medical illnesses /Carter .W/2004/second edition