View attached explanation and answer. Let me know if you have any questions.1Case Studies 1 & 2 – RemediationStudent’s nameCourseInstructor’s nameDate submitted2Case Studies 1 & 2 – RemediationWhat would be the initial diagnosis for this patient?The initial diagnosis for this patient would be Prinzmental’s angina (vasospastic angina),a form of angina that happens when resting or sleeping as arteries narrow suddenly hence thepain (Hung et al., 2020). Variant angina chest pain occurs when enough blood is not passing tothe heart and when pressure or squeezing impacts the flow of oxygen-rich blood to the heart.Please mention the 4 (four) most important elements that support the diagnosis mentionedabove.i.Pain and discomfort occur while the patient is resting, sleeping and is on littlephysical exertion and relieves when sitting.ii.The pain comes with difficulty in breathing and shortness of breath.iii.The patient has no previous medical history of cardiovascular disease.iv.Lungs are clear bilaterally and are not the cause of the “rhonchi” sound comingfrom the chest.What diagnostic test, including labs, would you order to establish the vital risk of thispatient?According to Picard et al. (2019), VSA diagnosis is to be considered throughdocumentation of myocardial ischemia in spontaneous episodes, clinical manifestations of VSA,and demonstration of coronary artery spasm. I would perform a cardiac catheterization (indexcoronary angiogram) which is performed at rest and assesses coronary vascular function and thepresence of the blocked arteries’ parts, or to observe narrowing or blocking of individual arteries(Ford & Berry, 2019). An E…
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