Heart Assault Indications

Stephanie Clifford’s A Shot to the Heart tells the story of Peter Forcelli, a Bronx detective that had arrested and convicted Edward Garry, an innocent man. Garry was charged with the robbery of Irene’s New Hope Grocery and the murder of retired NYPD officer Oswald Potter. When the robbery occurred, Potter attempted to stop the robbery when shouting, “I am a police officer” and knocking a suspect to the ground. Later gunshots were heard coming from the grocery store as two suspects fled the scene. Potters was found collapsed in a car with a single gunshot wound to the chest and later was pronounced dead at a hospital. Forcelli the explains that the arrival of a new system called CompStat and the murder of a police officer created an immense pressure to solve the case as quickly as possible. Basing their arrest off two unconfident eyewitnesses who picked Garry out of a line up, without any physical evidence or even a confession. Not long after Forcelli joined the A.T.F. where he soon developed his interest in pursuing wrongful convictions. His new passion had reminded him of Edward Garry’s case and the idea that a man was convicted on such little evidence made him sick. Forcelli then made it his goal to exonerate Garry, an innocent man serving a life sentence. Forcelli then notes the difficulty of freeing an innocent man from his sentence is much more difficult than convicting him in the first place.

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Over the past few years cardiovascular diseases have become the number one global cause of death. These diseases were first discovered 3,500 years ago with the Egyptians, and ever since then the causes have been pretty much the same. Although there are things that can be done to either increase or decrease the chances of getting heart disease. “Heart diseases describe a range of conditions that affect the heart” (Sheen 1). It can range from a myocardial infarction- a heart attack-, to a cerebral vascular disease, which is a disease of the blood vessels. Either way these diseases can impact the life of people in many negative aspects. Cardiovascular diseases have become the number one cause in global death due to the bad habits, diets, stress, and natural and chemical causes that the global population has.

Most heart attacks are related to the fact that the coronary arteries are blocked by blood clots that form in cholesterol rupture plaques. The absence of blood flow through blocked arteries leads to “Heart attack”. But over the past few years, doctors have come to recognize and better understand another form of heart attack. This unusual type of heart attack is not associated with rupture of plaques or blocked blood vessels. It is called taxonomic cardiomyopathy or cardiomyopathy of stress.

Whether it is arteriosclerosis, congestive heart failure, broken heart syndrome, coronary microvasculature disease, or coronary heart disease, the National Institute of Health reports that "heart disease is the number one killer in the U.S.[and] also a major cause of disability." The good news is that there are things that can be done to lessen the chance of having a heart disease-related incident.

The heart is one of the most important organs in an organism’s body, no matter if they are aquatic, amphibian, or a mammal. This super organ works automatically, able to pump massive amounts of oxygen rich blood through the body by means of electrical impulses and the opening and closing of valves within its many layers. It is what keeps us and every other creature on this earth alive; so it is only natural for one to fear when there might be a problem with one’s heart. A cardiac arrhythmia can happen to anyone, no matter the age, race, or gender, and as such, doctors and scientist have spent years trying to better understand the heart and the way it functions so that they can try to prevent these problems and save millions of lives.

What prompts to a heart assault is blocked blood stream to a piece of your heart. What traded off the blood stream is plaque develop inside your supply routes, a condition medicinally alluded to as atherosclerosis. This plaque can crack and frame a blood coagulation that restrains blood stream to the heart.

According to the “(CDC) Center of Disease Control heart disease is the number one leading cause of death in america. If you have heart disease then you have a higher chance of cardiac arrest or a heart attack.”

The effects of stress and heart disease is explained in a study Chida and Steptoe (2009), in which investigators looked at populations of people in healthy known areas, and assessed in total twenty five different studies. Anger and hostility has a positive relationship with coronary heart disease and was greater in men compared to women. Their findings also showed that individuals who had cardiac arrest and were resuscitated, twenty five percent admitted to feeling extremely stressed with work and family instances just twenty four hours before they had cardiac arrest. Daily activities that provoked moderate, acute stress demonstrated lower levels of blood supply to the hearts muscle. Deanfield et al. (1984)

All in all, heart disease is effecting people all around us. Weather it’s needing a heart pump, having electrical issues, or having coronary artery disease, it changed each one of these people’s life. These studies show that the outcome of being diagnosed with a heart condition, can be positive or negative. Nobody is expecting it to be them that gets the heart disease so we have to live every day to the fullest and not take the time we have for granted because who knows, any of us could be in one of these case

In Falcon’s report “Heart Disease” he anatomically describes the heart as “a fist sized organ located in the lower left quarter of the chest…[consisting] of four chambers: the right and left atria on top and the right and left ventricles at the bottom” (Falcon). While the heart is one of the smaller organs in the body, it has an enormous and important job to do; deliver nutrient carrying blood to the tissues in the human body. In people with heart disease, the heart is impeded and cannot efficiently deliver nutrients and oxygen to structures such as our muscles or our brain. This is one of the reasons that heart disease is so deadly; when our body structures are deprived of necessary nutrients, they begin to breakdown. The term “heart disease” encompasses a wide variety of

In normal adults, the heart beats regularly at a rate of 60 to 100 times per minute, and the pulse (felt at the wrist, neck or elsewhere) matches the contractions of the heart's two powerful lower chambers, called the ventricles. The heart's two upper chambers, called the atria, also contract to help fill the ventricles, but this milder contraction occurs just before the ventricles contract, and it is not felt in the pulse. Under normal circumstances, the signal for a heartbeat comes from the heart's sinus node, the natural pacemaker located in the upper portion of the right atrium. From the sinus node, the heartbeat signal travels to the atrioventricular node, or "A-V node," (located between the atria) and through the bundle of His (pronounced

Heart attacks , we have all seen them played out on our favorite drama shows but these shows do not address the real severity of an actual heart attack despite the great acting skills portrayed . A heart attack can also be known as a myocardial infarction (MI), acute myocardial infarction (AMI), acute coronary syndrome, coronary thrombosis, or coronary occlusion, either way it is not good news. Over 1.2 million people in American have heart attacks with many of them resulting in death (Heart attack, 2011). A heart attack is a serious life threatening condition that needs to be treated quickly.

Based on the patients physical exam, social activities, family history, recent laboratory results and imaging; from a nurse practitioner stand point I am concerned that the patient has coronary artery disease, new onset of congestive heart failure, as well as concerns that the patient may be suffering from depression. Mr. E. W. is an obese African-American male and has uncontrolled hypertension. Given Mr. E. W’s ethnicity, obesity and uncontrolled hypertension he is a likely candidate for coronary artery disease. The patient also presents with an ejection fraction of 46% and a prominent S3 sound upon auscultation. These findings are indicative of congestive heart failure. I am also concerned about the patient’s psychological well-being. The patient openly admits to drinking “several beers every evening to relax,” and is said to be a widower who lives alone. The patient also admitted to not speaking to his daughter for the past 4 years after she moved out with her aunt. These are signs and symptoms of depression coupled with poor coping strategies from tragic life events (CDEM Curriculum).

The Heart is a very important organ in the body. It is what keeps your blood flowing and your organs going. It is a tireless muscle that pumps more than two thousand gallons of blood every day. The blood that is pumped is filled with nutrition and oxygen (Colombo 7). It travels through out your body in less than sixty seconds. So it needs to be taken extra good care of. When abuse is put on the body, the heart’s performance is not at its best. The Heart is a major organ that needs loving and care. Everyone has only one and by abusing it, they are cutting their live span little by little. People can live their lives freely but how they choose to live them could be the difference between life and death.