ABSTRACT
Answer 2 Almost all myocardial infarctions are due to underlying atherosclerosis of the coronary arteries.Atherosclerosis is discussed in more detail in Case 1, Intermittent chest pain (p. 2).
Answer 3 As a result of the occlusion of its supplying coronary artery, the myocardium becomes ischaemic. If the ischaemia persists, irreversible cell death begins and the
A 61-year-old man presents to accident and emergency with a 30-minute history of severe chest pain.The pain was of sudden onset while the man was at rest in his armchair, reading the newspaper.The pain is central and radiates up to the jaw.The patient mentions that he feels sick and generally unwell.
