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PATHOPHYSIOLOGY

Change in the condition of


plaque in the coronary artery

Activation of platelets

Platelet Aggregation,
Adhesion, & Buildup of
Platelet Mass

Thrombosis

Release of
Thromboplastin

Platelet release Thromboxane


A2, Serotonin, Platelet Factors
3 and 4
ATHEROSCLEROSIS

Rest Nausea Sweating


Pain and/or
Vomiting

Claudication Fainting Cool


Extremities
Coagulation and
Vasospasm

Enlargement of
Thrombus

Occlusive
Thrombus

Ischemia of PALPITATIONS
Tissue in Region
Supplied by Artery

Coronary Blood
Supply Less than
Demand
MYOCARDIAL CELL
DEATH (NECROSIS)
Decrease
Oxygen

Increase Carbon Stimulation of


Dioxide Levels WEAKNESS / Sympathetic NS
FATIGUE

Decrease
Blood pH INCREASE
IN HEART
RATE

DEEP &
LABORED Increase Basal
BREATHING Metabolic Rate

DIAPHORESIS
Increase Increase Decrease Blood Increase Afterload
Epinephrine Oxygen Need Supply to GI Tract
and
Norepinephrine Vasoconstriction
Production
NAUSEA /
VOMITTING

HYPERTENSION

ARRYTHMIAS
MYOCARDIAL CELL DEATH (NECROSIS)

Decreased Altered Release of Anaerobic Myocardial


Contractility Repolarization Lysosomal Glycolysis Irritability
of the Enzymes
Decrease Myocardium
Ventricular Lactic Acid
Function Production

Increase Decrease DYSRHYTHMIA


ANGINA
Preload Carbon
Dioxide

Decrease
Blood Flow to
Brain

LOSS OF
CONSCIOUSNESS

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