What is ST depression and why it can happen?
The retired sergeant is suffering from acute inferior MI, which is accompanied by ST segment depression in the precordial leads in its early stages. The ST elevation a myocardial infarction appearing in one myocardial zone usually have concurrent ST depression distinct myocardial zones. ST depression may appear as pure ‘’mirror image’’ to be indicative of acute ischemia ascribed to right coronary artery disease in non-infarct associated arteries. The mechanism is generally plaque rupture resulting thrombus, but progressive hemodynamic stenosis and plaque erosion can also contribute. The patient who is suffering from acute inferior MI, is probably experiencing chest pain and may have prodromal symptoms of fatigue, chest discomfort, or malaise. The chest pain is intense and can last for 30-60 minutes which is described as a substernal pressure sensation. The pain can radiate up to the neck, shoulder, and jaws, and then down to the left arm.
Mr. Dipak has been admitted to the hospital and requires immediate attention. The healthcare team member who is in charge of the patient should smile and welcome the patient in a calm and welcoming voice. This should make the patient feel special, especially elderly patients because they are very sensitive especially in the case of Mr Dipak. Consequently, the patient will feel more comfortable to open up and as a result, it will provide better communication. The patient should be called by name as it emphasizes that the practice views every patient as an individual, and not simply as just another patient. It is considerate that calling a patient by name must be done only when and where appropriate to avoid any violate confidentially. If the friendliness feels misguided or dishonest, the patient will feel uncomfortable and not special. Especially, in this case, as Dipak is expecting to receive special treatments due to his past work as a soldier. It is necessary, to take in consideration that everyone should be treated equally regardless of their job role. A required time should be taken to build a real, honest relationship between the patient and whoever is in charge. Especially, due to all the healthcare staff who are rushing in and out and most times, they don’t even know who is in the lab cath. Therefore, it is necessary that the healthcare introduce themselves and inform them how they will take care of the patient. All these little gestures can improve the patient healthcare relationship and make a big difference.