Week #5: Cardiovascular Syste

Randi Marchant, a 42-year-old waitress, was vacuuming the parentage space when she felt a raw squeezing in her chest repeatedly.  This was the third spell today, but this one veritably trouble.  She sat down to lay-hands-on her inspiration and stubbed out the cigarette she had left smoldering in the half-filled ashtray by the couch. Randi's wife, Jimmy, and stepdaughter Melanie had pestered her until she finally had charmed spell off toil to see her teacher.  

Dr. Harris endow that her rank hurry was 158/88-probably attributable to the noon roll weight at toil, she rationalized.  At lowest her cholesterol trial was singly 30 points aloft mean this spell.  It had been unwillingly hence down, uniform though she cheated on her viands.

Another prosper of self-denial tightened its icy fingers environing her center, and the self-denial moved up into twain sides of her jaw.  Randi meditation, "Probably impartial a weak centerburn.  Since the self-denial doesn't coruscate down my left arm, it couldn't be my center, could it?"

"Don't purpose environing the self-denial," she told herself.  "Think of colossus else.  Melanie's prom vestments needs altering."  Randi cut to the sole, clutching her chest, impartial as Melonie walked in.  She saw her stepmother slumped on the sole and screamed, "Oh no!  Help, celebrity, help!"

Assuming that Randi is indisposition a myocardial infarction, sift-canvass why it is momentous that she hold mismisappropriate tenor quickly.  What signs and symptoms are consonant after a while an MI?  What are her tenor options?

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