Clinical Analysis Assessment 2022

Running head: CLINICAL ANALYSIS 1
Clinical Analysis
Name
Institution

CLINICAL ANALYSIS 2
Analysis of Findings
Health History
Having close relatives who suffer from diseases such as diabetes and heart diseases increases the
risks of developing these diseases. Health history of a family is a very vital risk factor that shows
how people are susceptible to conditions due to genetic inheritance, common behaviors, and a
shred environment. Heart disease or stroke in the family increases the risks of developing these
conditions. It is thus important to understand one’s family history to help in avoiding these
chronic conditions (Thayer, Yamamoto & Brosschot, 2010). From the case study provided, it is
revealed that the family of George has a history of heart-related health conditions. His father died
as a result of a heart attack when he was still just a teenager. Not long ago, his mother passed on
from a stroke and his only remaining uncle has had a heart surgery due to a heart attack.
According to reports, both heart disease and all the risk factors associated with heart diseases
have a strong connection to the family history of an individual. There are however other risk
factors that must be considered to properly assess the health condition of an individual to
effectively reduce the chances of developing these conditions. Family history really matters but it
is important to note that the fate of your parents is not your own. There is not much one can do
about their family history as it is mostly about genetics but one can take it upon themselves to
prevent the other risk factors from manifesting (Thayer et al., 2010). From the provided case
scenario, it can be stated that the chances of George developing a heart-related condition. His
BMI is 29 and his blood pressure is extremely elevated which could indicate signs of a heart
attack.

CLINICAL ANALYSIS 3
Focused Assessment
A focused health assessment of George is important to determine his condition and design an
appropriate care plan. The first procedure to perform is an ECG analysis. An ECG helps in
recording the heart’s electrical activity. It gives all the necessary information about the rhythm of
the heart, to establish if there is any sort of enlargement of the heart that may be caused by high
blood pressure (Sun, Lu, Yang & Li, 2012). From the scenario, it is indicated that George’s
blood pressure when he visits his GP is 174/100mmHg and later 167/100mmHg which is way
above the normal blood pressure reading which should be below 120/80mmHg. ECG test helps
in establishing if one is at risk of developing a heart disease like hypertension. It is also used to
establish the existence of a previous heart condition like myocardial infarction (Sun et al., 2012).
From the ECG test, it was established that George had an ST elevation in leads V3 and V4 which
could indicate an acute anterior myocardial infarction.
A blood pathology test is also important in determining how well the organs of the body such as
the heart, liver, and kidney are working. Additionally, a doctor can use a blood test to check for
some diseases and conditions like diabetes and coronary heart disease in the patient’s body
("Blood Tests | National Heart, Lung, and Blood Institute (NHLBI)", 2019). Furthermore, it can
help in establishing whether a patient is at risk of developing heart disease. A blood pathology
test also shows whether the level of the different substances in the body is within the acceptable
range ("Blood Tests | National Heart, Lung, and Blood Institute (NHLBI)", 2019). From the
provided case scenario, the blood test results from George’s GP reveal that his serum cholesterol
is 7.2mmol/L, his low-density lipoprotein is 6.2, his high-density lipoprotein is 0.7, and his
fasting triglyceride is 5.9mmol/L. The pathology testing further show that his level of troponin I