MI Peer Response due 1-11-23
Instructions:
400 words for each2 peer response total of 800 words.
Look at your course colleagues’ responses. 
· From your advanced practice mindset reflect on a discussion you would like to have with two of your course colleagues about their responses.
· Post a response individually to each of them that expresses your advanced practice nursing role perspective of the data represented in their response.
· In each response add statistical data regarding MI to include population group impacted, preventative measures to include primary secondary and tertiary prevention for MI. Include at least 4 new references.
Use scholarly resources relevant to your advanced practice nursing role to support the key elements of the peer discussions you construct. [For example – if you are a nurse educator (clinical or academic) what are your thoughts about their ability to follow task instructions for constructing the assignment, etc.?; if you a nurse leader what are your thoughts about the success of their application of a process improvement model, etc.?; if you are a nurse practitioner what are your observations about the non-conventional modality presented in the schemata, can you locate any evidence or the foundational basic sciences that support the modality, etc?
Please be sure to validate your opinions and ideas with citations and references in APA format.

1. Peers posting
Unit 1 Discussion – Initial post
Case Study:  Mr. T is at higher risk for cardiac disease. He presents with a BMI of 38.4, elevated blood pressure, high cholesterol, a family history of early age heart attack and stroke, hypertension, and is African American. African Americans suffer from cardiac diseases greater than any other ethnicity (American Heart Association, 2023). Also of note is his position as a corporate manager, which may be associated with higher stress levels which have been shown to impact heart health negatively (American Heart Association, 2020). Mr. T also drinks alcohol but does not indicate quantity.
Explain the progressive pathophysiologic relationship between an MI and the development of left ventricular (LV) failure.
A myocardial infarction (MI) occurs when the oxygen supply to the heart tissue is insufficient due to compromised circulation related to sclerotic vessels, clots, or significant blood loss (McCance & Huether, 2019). When heart tissue is damaged following an MI, the structure of the heart can be altered with scar tissue or necrosis, affecting the contractility of the heart and its ability to pump blood to the body. The left ventricle receives oxygenated blood from the pulmonary veins and pumps that blood out to the arteries. When the left ventricle cannot pump efficiently, blood begins to back up in the pulmonary vessels leading to fluid build-up in the lungs that manifests as shortness of breath and crackles in the lung bases on auscultation.
What factors affect the severity of LV failure?
Several factors can contribute07/24/15 April 9, 2019 11:12 AM rm_rn_2019_ams_FRONT-MATTER

RN ADULT MEDICAL SURGICAL NURSING I

RN Adult Medical Surgical Nursing
REVIEW MODULE EDITION 11.0

Contributors
Honey C. Holman, MSN, RN

Debborah Williams, MSN, RN

Sheryl Sommer, PhD, RN, CNE

Janean Johnson, MSN, RN, CNE

Brenda S. Ball, MEd, BSN, RN

LaKeisha Wheless, MSN, RN

Peggy Leehy, MSN, RN

Terri Lemon, DNP, MSN, RN

Consultants
Greta Lucinda Baldwin Mason, MSN, RN

Christi Blair, DNP, RN

Tracey Bousquet, BSN, RN

Valerie S. Eschiti, PhD, RN,
AHN-BC, CHTP, CTN-A

Penny Fauber, PhD, MS, BSN, RN

Sara Hoffmann, MSN, RN

Tomekia Luckett, PhD, RN

Donna Russo, RN, MSN, CCRN, CNE

Melanie P. Schrader, PhD, RN

INTELLECTUAL PROPERTY NOTICE
ATI Nursing is a division of Assessment Technologies Institute®, LLC.

Copyright © 2019 Assessment Technologies Institute, LLC. All rights reserved.

The reproduction of this work in any electronic, mechanical or other means, now known or hereafter

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graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual

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07/24/15 April 9, 2019 11:12 AM rm_rn_2019_ams_FRONT-MATTER 07/24/15 April 9, 2019 11:12 AM rm_rn_2019_ams_FRONT-MATTER

II CONTENT MASTERY SERIES

IMPORTANT NOTICE TO THE READER
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