Case 13 Coronary Artery Disease and Coronary Artery Bypass Surgery (CAD: CABG CASE STUDY)

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Case 13 Coronary Artery Disease and Coronary Artery Bypass Surgery (CAD: CABG CASE STUDY)-Your patient, 58-year-old K.Z., has a significant cardiac history. He has long-standing coronary artery diseas... e (CAD) with occasional episodes of heart failure (HF). One year ago, he had an anterior wall myocardial infarction (MI). In addition, he has chronic anemia, hypertension, chronic renal insufficiency, and a recently diagnosed 4-cm suprarenal abdominal aortic aneurysm. Because of his severe CAD, he had to retire from his job as a railroad engineer about 6 months ago. This morning, he is being admitted to your telemetry unit for a same day cardiac catheterization. As you take his health history, you note that his wife died a year ago (at about the same time that he had his MI) and he does not have any children. He is a current cigarette smoker with a 50–pack-year smoking history. His vital signs (VS) are 158/94, 88, 20, and 97.2 ° F (36.2 ° C). As you talk with him, you realize that he has only a minimal understanding of the catheterization procedure. [Show More]

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