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History of Present Illness (HPI), Pathophysiology of Admitting Dx (Cite References) Medical, Surgical, Social History (1).Medical History HTNDefined as age 18 years and older, normal blood pressure is deined as <120 mm Hg systolic and <80 mm Hg diastolic; stage 1 hypertension begins at a systolic pressure of 140 mm Hg or a diastolic pressure of 90 mm Hg (see Table 16-2). The range of pressures between normal blood pressure and stage 1 hypertension has been identiied as prehypertension as part of efforts to initiate interventions early enough to prevent or at least slow the progression of the disease process (Banasik & Copstead, 2013, p.338)CADThe primary function of the heart is to produce the driving force that propels blood through the vessels of the circulatory system. Along with the lungs, the heart works to distribute oxygenated blood and nutrients to tissues and organs of the body. Complex regulatory mechanisms function to match the cardiac output with the metabolic needs of the tissues. CAD is the plaque buildup in the wals of the arteries causing a deficiency of blood supply to the heart (Banasik & Copstead, 2013, p. 350)DMDiabetes mellitus is associated with impaired cellular uptake of glucose, which results in high serum and urine glucose levels. NSTEMINon-ST elevation MI is made after obtaining cardiac necrosis markers; those patients with elevations are diagnosed with NSTEMI and those without elevations are diagnosed with unstable angina (Banasik & Copstead, 2013, p. 385).CARDIOMYOPATHYrefers to a disorder in which heart failure develops insidiously as a consequence of progressive ischemic myocardial damage (Banasik & Copstead, 2013, p. 390).HYPERLIPIDIMIAThe most common form of genetic hyperlipidemia (familial hypercholesterolemia) is associated with a defect in the LDL receptor on liver cells.Inability of the liver to efficiently remove cholesterol from the blood- stream results in hyperlipidemia (Banasik & Copstead, 2013, p. 380).Surgical HistoryPCI STENTpercutaneous coronary intervention is a procedure used to open blocked coronary arteries (caused by coronary artery disease). It restores blood flow to the heart muscle without open-heart surgery.