Hypertension, smoking, alcoholic, hypercolesterol, DM, heart problem, blood

stream static coronary artery occlusion that caused by coronary embolism,

congenital abnormality, coronary spasm and other systemic inflammation
disease.

Coronary atherosclerosis

Coronary artery thrombosis

CO , artery diastolic pressure, coronary arteriole resistance and

intramyocardium pressure

Myocardium oxygen will be blocked and disturbance of

oxygen filling in myocardium

Chest pain Myocardium ischemic BP , pulse

Unstable JVP change
hemodynamic Abnormal ECG
Decreasing of heart There is coronary
Myocardium infarct
contractility occlusion
Decrease of kidney
function
Myocardium necrosis

PTCA and stent

1. Ineffective airway clearance

2. Decrease of CO
3. Acute pain
4. Intolerance activity
5. Anxiety