The Social Determinants of Health Contribution to Mr. A’s Myocardial Infarction

"The health of individuals and groups is influenced and determined by various factors and is thought to lead to health, illness, disability, and ultimately death (Mary Louise Fleming, 2009) There are many immutable factors that can affect health, it will be childcare to nurture inborn sex and place, genetic diseases, and their lifestyle, even government policy; But there are variables for many immutable factors.

Atherosclerosis is not the sole cause of myocardial infarction, it may aggravate or contribute to other causes. Myocardial infarction is caused by an increase in oxygen demand due to fever, an increase in heart rate, hyperthyroidism, a decrease in red blood cells, a decrease in blood pressure in the blood stream, blood supply to the heart is restricted There is a possibility. Surgical injuries or failures such as percutaneous coronary intervention or coronary artery bypass grafting can cause myocardial infarction. Coronary spasm, such as Prinzmetal's angina pectoris, can cause obstruction

Acute myocardial infarction (MI) is defined as cardiomyocyte death or necrosis. It is a diagnosis at the end of myocardial ischemia or acute coronary syndrome. Myocardial infarction occurs when myocardial ischemia overwhelms the critical threshold and overwhelms cardiomyocyte repair mechanisms designed to maintain normal functional function and hemostasis. Symptoms of acute myocardial infarction include sudden chest pain (usually left or left radiation), shortness of breath, nausea, vomiting, palpitations, sweating and anxiety (usually described as imminent ruin). Women may have fewer typical symptoms than men, the most common of which are shortness of breath, weakness, indigestion and fatigue. About one-fourth myocardial infarction is silent without chest pain or other symptoms

Acute coronary syndromes include a set of three acute processes related to myocardial ischemia. These include unstable angina, non-ST elevation myocardial infarction (NSTEMI), and ST elevation myocardial infarction (STEMI). Myocardial ischemia is caused by insufficient perfusion of myocardial tissue due to oxygen demand exceeding the oxygen supply. In healthy people, the amount of oxygen required for myocardium (oxygen demand) is determined by heart rate, myocardial contractility, myocardial wall stress, and afterload. Antman et al. "Myocardial oxygen supply requires satisfactory blood oxygen transport capacity (determined by inhaled oxygen, pulmonary function and hemoglobin concentration and function) and sufficient coronary flow", as explained by (2012)