Research What Leads Demonstrate The ST Depression? (Essay Sample)

ST Depression and Hypertension
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Institution
What leads demonstrate the ST depression?
Some of the potential indicators from the medical observations that Jeremy was suffering from ST depression is the short of breath without involvement in strenuous physical activity. Medical research studies show that ST depression has origin from abnormalities linked to the overall blood circulatory system from electrocardiogram analysis (Hanssen, Cottin, Khalife, Hammer, Goldstein and Puymirat, 2012). Moreover, the patient has history of in the family tree chronic hypertension and possible erratic response to the past medication would result in ST depression. For example, the mother had suffered and died from stroke related disease while the father was also diagnosed.
The second important lead to the ST depression Jeremy regards the confession of experiencing regular and exhaustion and inability to sustain demanding physical activity for long periods. Diagnosis indicated dry and pink skin color, which alluded to prevailing silent ST depression condition .This, would be attributed to the congestion of the pulmonary circulatory system of Jeremy (Panza et al…, 2013) .Another possible contributing factor to chest pain emanated from the underlying high cholesterol deposits within the muscle tissues responsible for blood circulation. Medical history, documented Jeremy encounter of Cholecystectomy an indicator that the problem might have resurfaced, from the unchecked weight which at the time of visit was found to be 240 pounds. Such, deposit cause a rubbing effect which results in much pain. Diagnosis is normally supported through observing pericardial friction and effusion and the escalated ST wave on the electrocardiogram analysis. The age of Jeremy is predisposing factor to various aging population disease conditions. For example, from the diagnosis above, Jeremey has multiple case, which includes, obesity, usually associated with poor lipid metabolism, cardiac insufficiency, neurological dysfunctions and depression. In reference to the ICD, there should be adoption of accurate and verifiable parameters in the diagnosis of patient conditions as it translates to better treatment and disease management process. Jeremy for example, has intertwined case of disease that touches several body organ systems. These include the cardiovascular system, the neurological system and the epidemiology. Some of the affected organ systems are clear indication of the secondary effects of the ST Depression conditions, which the root cause was disorders in the cardiovascular valves and the lack appropriate coordination in electro signaling mechanism, for the heart function responsible for normal blood flow.
The clinical observation of the neck, abdomen, the eyes to mention just a few describe the risk that the ST Depression would bring if not diagnosed at early stage( Morley, Wallace, Denaxas, Hunter, & Patel , 2014) .The secondary diagnoses that need to be addressed in Jeremy include the stated lung condition, the skin dryness and the eyesight. The dryness of the skin is an indication of dehydration in the body, which affects the electrolytic balance in the body fluids exacerbating the already precarious ST depression condition. Another secondary diagnosis identified is the need to assist Jeremy on how to improve on the lung capacity as this will ensure adequate oxygen supplies to the body sensitive organs such the brain.
JNC 8 recommendation for the treatment of antihypertensive therapy and design therapy plan
The JNC 8 recommendation describe a set of rules and which guide on diagnosis, ,analysis and formulation treatment and management methodology for high blood pressure related conditions. The underlying principle and objective of treatment is to address the problems of glucose metabolism imbalance, lipid disorders and obesity. the This has the potential of reducing the risk that result from cardiovascular diseases and other related complications. The development of therapy that suite the condition of Jeremey will be more complicated and sensitive, as any miscalculation would expose him to unimaginable risk owing to the age factor. Aging individuals normally have slow and at time chaotic response to treatment regimen.
In addressing the diagnosed condition of Jeremy, it essential to incorporate, holistic treatment approach which will pharmacological, lifestyle change and psychological therapy methods. Jeremy age of 52 year makes it appropriate to use the second recommendation as the first line pharmacological approach. The goal of second recommendation applies to hypertensive individual whose age is below 60 years. The blood pressure (BP) at diastolic blood pressure (DBP) of 90mm Hg or higher. These results in a substantial effect by reducing the risk factor such as stroke is life threatening. Jeremy should be put on immediate drug treatment without waiting on the effects of life style change he initially ascribed on before reporting the current incidence.
The Angiotensin –converting enzyme family of drug will be used for the treatment. The operating mechanism of this drug entails the blocking of renin –angiotensin systems. This occurs through prevention of angiotensin I to blood pressure increasing hormone angiotensin II. Moreover, the drug would enhance the availability of vasodilators named bradykinin by preventing its chemical decomposition (James et al…, 2014). The overall effect is that the blood pressure will be restored to the normal state. Thiazide is an example of drug commonly used in the Angiotensin –converting enzyme family. The second approach, owing to the age and the skin pink color, it is possible Jeremy ST depression condition has underlying diabetes. The case, JNC 8 recommendation 5, will be employed, which and is aimed at lowering the high blood pressure of systolic blood pressure of 140mmHg. The drug used in the treatment includes the alpha-blockers. These drugs normally check on high blood pressure by obstructing the arterial alpha-adrenergic receptors thereby evading vasoconstriction, the narrowing of vessel, which results in high tension in the blood flow. These drugs also have more benefits by regulating the level of lipid and glucose levels in the blood. The drugs are used in combination with the diuretics for realization of effective results.
Jeremy last visited health facility th...