A patient whose ECG shows no significant changes
The first step entails determining the need for further tests to consider a myocardial infarction or acute coronary infection by analyzing the risk factors. Determining what kind of chest pain is felt is important through assessing whether chest pains are intermediate, atypical, or classical between the possible classifications. Minimal time delay is to be ensured, followed by an ECG, as well as a physical examination. If there arises no emergency yet, a chest radiograph is also necessary. Patients with myocardial infarction depict symptoms such as bradycardia, irregular rhythms, tachycardia, blood pressure, auscultation of rales for left ventricular dysfunction, pulmonary edema, hepatojugular reflex, and jugular venous distention for right-sided dysfunction (Mythili, & Malathi, 2015). Management of the condition involves placing the patient on cardia monitor while using the nasal cannula to supplement oxygen, and treating cardiac chest pain. Depending on the level of acuteness, the ICU might be needed.
A patient whose ECG shows no significant changes has their treatment plan that involves early and invasive procedures such as coronary artery bypass grafting, an angiography, or other conservative methods that still include aggressive medications. On the other hand, patients with an ST-elevation myocardial infarction require to be put on oxygen supplementation while further tests are made for a specific diagnosis. A patient might need to be taken to the cardiac catheterization laboratory when they show signs of exhaustion, dizziness, shortness of breath, or chest pains (angina) after another test (e.g., an ECG) suggests a condition that requires further exploration (Yannopoulos et al. 2019). In such cases, it is essential to perform tests for cardiomyopathy, heart failure, heart valve diseases, or atherosclerosis. In case a patient suffers a heart attack upon discharge, there are higher chances that, indeed, they have an acute myocardial infarction. With this in mind, a nurse practitioner should consider all the tests indicative of ac acute myocardial infarction. After suffering one heart attack, patients are usually at risk of suffering a more serious one, given the damage already done to the heart. Statistics indicate that 2% of those who go to the ED with chest pains are later diagnosed, within one week, with acute myocardial infarction.