1. The common name for Mr. Thomas’ acute condition is heart attack.

A heart attack, also called a myocardial

infarction, happens when a part of the heart muscle doesn’t get enough blood. Based on the statement from
Centers for Disease Control and Prevention (CDCP), the signs and symptoms of heart attack for both men and
women are: Chest pain or discomfort; Shortness of breath; Pain or discomfort in the jaw, neck, back, arm, or
shoulder; Feeling nauseous, light-headed, or unusually tired. The more time that passes without treatment to
restore blood flow, the greater the damage to the heart muscle.

2. Chief complaint means, the main problem/ symptom/ condition/ ailment/ disease being experienced by the
patient. It is sometimes also referred to as reason for encounter (RFE), presenting problem, problem on
admission or reason for presenting.

3. The patient’s chief complaint is Acute Myocardial Infarction. happens when the flow of blood that brings oxygen
to a part of your heart muscle suddenly becomes blocked. Your heart can't get enough oxygen. If blood flow is not
restored quickly, the heart muscle will begin to die. A heart attack is not the same as cardiac arrest, which happens
when your heart suddenly and unexpectedly stops beating. A heart attack can cause sudden cardiac arrest.

4. Nausea: a sensation of discomfort in the upper abdomen, accompanied by an urge to vomit. Also known of as
qualm, nausea may be a side effect associated with several medications or a symptom of disease or disorder.
Dyspnea: Also known as shortness of breath. It is often described as an intense tightening in the chest, air hunger,
difficulty breathing, breathlessness or a feeling of suffocation. Very strenuous exercise, extreme temperatures,
obesity and higher altitude all can cause shortness of breath in a healthy person.
Diaphoresis: It is excessive sweating due to an underlying health condition or a medication.
Low Grade Temperature: A low-grade fever is usually a sign that your body is fighting off the infection that has
caused your temperature to rise.
Stage 1 High Blood Pressure: Normal blood pressure is set at 120/80 for adults.
Overweight: Abnormal or excessive fat accumulation that presents a risk to health.
5. Blood Test: Blood tests can measure the substances and show if, and how much of, the heart muscle has been
damaged. Blood tests are also done to measure the level of other substances in the blood, such as blood fats (e.g.
cholesterol and triglycerides), vitamins and minerals.
Nuclear Cardiac Stress Test: This test is sometimes called an ‘exercise thallium scan’, a ‘dual isotope treadmill’
or an ‘exercise nuclear scan’. A radioactive substance called a ‘tracer’ is injected into the bloodstream. It goes to
the heart and releases energy. Special cameras take a picture of this energy from outside the body. The doctor uses
this picture to see how much blood flows to the heart muscle and how well the heart pumps blood when resting
and doing physical activity. This test also helps the doctor to see if the heart muscle is damaged.
Ultrasound: It gives a picture of the heart using ultrasound, a type of X-ray. It uses a probe either on the chest or
down the esophagus. It helps the doctor check if there are any problems with the heart’s valves and chambers, and
see how strongly the heart pumps blood.
6. High Blood Pressure, Cholesterol, Smoking, Obesity, and Unhealthy diet are the Risk Factors that Mr. Thomas
have. He should watch his weight. Stay at a healthy weight for himself. Lose weight if overweight or obese. Start
by eating fewer calories and moving more. Aim for blood pressure at or below 120/80 millimeters of
mercury. Center eating plan around vegetables, fruits, whole grains, legumes, nuts, plant-based proteins, lean
animal proteins and fish. Get regular exercise. Exercise has many benefits; this strengthens heart and improves
blood circulation.