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V.

Pathophysiology
Predisposing Factors Precipitating factors
-Age (70 Years Old) -Diabetes Mellitus Type 2
-Genetics (FBS= 10.98mmol/L)
-Hypertension (130/70)

Endothelial injury

Desquamation of endothelial
lining

Increase Permeability/adhesion
molecules

Lipids and Platelets accumulate in the area

LDL attracts monocytes and


macrophages
(Inflammatory Response)

Formation of Plaque

Atherosclerotic Heart Disease

Reduced Coronary tissue perfusion

Renz Darwin C. Castañaday


BS Nursing
St Jude College Cavite
Diminished Myocardial
Oxygenation Anaerobic metabolism

Lactic Acid production

(Lactic Acidosis)
Decreases
Cardiac Output Myocardial Ischaemia

Decrease O2 Chest Pain


supply in the body

-Fatigue
-Difficulty in ST elevation
Breathing Complete Blockage

NO YES
Partial Blockage
Cardiac Tissue Begin
To Die
(Necrosis)
Unstable Angina NSTEMI

STEMI

No Cardiac
Enzymes
Released

Release of Cardiac enzymes


-CK-MB
-Troponin I

Renz Darwin C. Castañaday


BS Nursing
St Jude College Cavite

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