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1. What diagnosis is consistent with John’s history and physical exam?
Based on John’s past medical history of stable angina and current present clinical findings, John’s stable angina has progressed to unstable angina because with unstable angina, transient ST-segment elevation can show on an ECG and all symptoms should be treated like a STEMI until other objective findings prove otherwise (Basit, 2019). Individuals who present with NSTEMI will experience pressure in the substernal area of the chest, occurring at rest or with little to no exertion (Basit, 2019). The pain will last more than 10 minutes and radiate to either the arm, neck or the jaw (Basit, 2019). The individual will also experience dyspnea accompanied by chest pain and diaphoresis (Basit, 2019).
2. Please differentiate between a STEMI and Non-STEMI.
The difference between a STEMI and Non-STEMI is based on clinical presentation, objective findings on the ECG, an
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