A 52-year-old Irish American male is discharged from the hospital. He was hospitalized for four days after a stent placement, following admission from the emergency room with angina symptoms. This patient presented to the emergency room with four hours of crushing chest pain.
A 52-year-old Irish American male is discharged from the hospital. He was hospitalized for four days after a stent placement, following admission from the emergency room with angina symptoms. This patient presented to the emergency room with four hours of crushing chest pain.
He was short of breath with exertion and diaphoretic. The patient thought he was having a heart attack and was afraid to come to the hospital. The symptoms lasted for four days before the patient sought help. The patient had been suffering from similar symptoms for the past six months but thought that he just out of shape. It was worse upon admission to the hospital. Prior to this,
the symptoms disappeared with rest.
His symptoms were relieved in the emergency department with medication and he was transferred to the cardiac floor for catheterization.
The patient’s symptoms were highly debilitating upon his admission to the emergency department.
Prior to his admission to the hospital for this event, the patient was not very active because of his angina symptoms. The pain that he had was substernal and crushing and radiated to his neck and jaw. His symptoms resolve with rest only. He has not sought any therapeutic maneuvers.
He is currently asymptomatic and is here for a follow-up visit from his hospitalization to discuss his risk factors. The patient is still concerned that he may have other episodes of angina, even after the stent placement.
PMH
The patient has not sought care for his problems in the past. He had been treated for hypertension and high cholesterol in the past but stopped medication on his own. Besides that, he has had no other significant illnesses.
He was hospitalized for a cholecysectomy ten years ago.
This patient had a baseline EKG at his doctor’s office when he was first prescribed his blood pressure medication. Otherwise he’s had no other investigations for heart disease besides his cholesterol levels checks.
Results of Laboratory Investigations Following Hospitalization
Total cholesterol – 210
LDL- 200
HDL- 25
. .
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