The cause of this alarming clinical presentation is the obstruction of an artery due to the rupture of an atherosclerotic plaque with the formation of a thrombus (acute coronary syndrome) and can manifest as;
- Stable angina
- Myocardial infarction
- Myocardial infarction without ST elevation
- Sudden death
It is important that with this type of medical condition the patient react quickly, seeking medical care immediately to prevent further damage to the heart.
Further observation is required to complete the clinical diagnosis such as evaluating pain duration of pain other accompanying symptoms what improves the symptoms and what worsens the symptoms.
The cardiologist will also evaluate other signs of cardiovascular compromise such as:
- Hypotension
- Abnormal heart sounds, murmurs, pulmonary congestion
- Changes in the EKG
- Abnormal cardiac enzymes (cpk-mb) lab exam
An echocardiogram will allow us to assess the function of the ventricles and the abnormal movements of the cardiac muscle and the presence of additional abnormalities secondary to cardiovascular compromise.
