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Patient DTGroup 13
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Age:54
Weight: 11.5 stone
Height: 59 feet
BMI:23.5
Previous Medical History: Acid reux/excessstomach acid and
slight hpertension
Social/Family History:
!ather had a stent "age 5#$ %other su&ered from a fe'
stro(es )oes not smo(e )rin(s occasionall
*ealth )iet
Patient Inormation
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*eart attac( at 'or( on +aturda morning "25/,1/2,14$-hought it
'as excess stomach acid )id not nd out it 'as a heart attac( until
late +unda
eening "20/,1/2,14$ )roe to alsall hospital due to seere chest
pain in
front and ac( of chest
Drug History on Admission
Amlodipine 5mg 1 )
mepraole 2,mg 1 )
Presenting !om"laint/History oPresenting !om"laint
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ST Segment #levation MyocardialInarction $ST#MI%
*ospital notes6
7+urgical consultation at 3pm on 29/,1/2,14 to discuss
'hether the need for a pass or a +tent is appropriate.8
-he patient 'ill need surger to restore adeuate lood o' tothe
heart.
7&er eerone 'ho has had an %: a cardiological assessmentto
consider 'hether coronar reascularisation is appropriate.
-his should ta(e into account comoridit.8 ";:
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-he surgical options aailale to %r )- 'ere6
!oronary Artery By"ass &rat "
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(a)oratory/Monitoring Data
Parameter Patient *esult *e+ *ange
Tro"onin ,+, ng/ml 3+4ng/ml
Elatelets 154 15,F45, x1,9/
&lucose 5+4 4+40.+ mmol/(Al)umin 4- 4607g/(
%g ,.#, ,.0,F,.95 mmol/
Lentricular Jate >2/min 0,F1,,
8*S Duration ,,-ms .0, ms
!holesterol 7+, 37 mmol/(
#vidence or Diagnosis$!ontinued%
Jeference ranges and cardiac mar(ers from6 nne *. A. 2,12.
Laoratory !ata.:n6 al(er J.hittlesea
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Erimar Erolem +-FsegmentFeleation mocardial infarction
"and associated issues$
+econdar Erolem *pertension
*percholesterolemia Acid reux
Pro)lems
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Treatment Analgesic6
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Monitoring Dlood Eressure *eart Jate
xgen +aturation Jespirator Jate =
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Treatment Earenteral anticoagulant "=noxaparin$ )ual
antiFplatelet therap "Aspirin and
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/11/2,,#$ Aailale at6 B
http6//'''.eerdahealth.com/heartFhealth/heartFattac(Ffollo'Fup.aspx
C ?Accessed on 22/,2/2,14@
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Treatment Aspirin >5mg 1x) ")ual antiplatelet therap$ 5mg 1x)
")ual antiplatelet
therap$ Disoprolol 2.5mg 1x) "DetaFloc(er$ Jamipril 1.25mg 1x)
"A
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Monitoring %IJ
;%+ GE consultations ife stle changes ";:
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nce %r ).-. has een discharged from hospital thehealthcare
professionals inoled in his care 'ill hae toma(e him a'are of signs
that he could e deeloping thefollo'ing conditions6
Eericarditis
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Daer Eharma AG 2,12. Image of STEMI ECG ?nline image@. Aailale
at6 B
http6//'''.thromosisadiser.com/html/images/lirar/atherothromosis/stemiFandFnstemiFecgFillustrationFEI.KpgC
?Accessed on 22/,2/2,14@
D< information from6 %ediline Elus 2,14. Pericarditis after
heart attack. ?online@ Aailale at6
Bhttp6//li'e.anglia.ac.u(/referencing/harard.htm C ?Accessed on
22/,2/2,14@
Jeference ranges and cardiac mar(ers from6 nne *. A. 2,12.
Laoratory !ata.:n6 al(er J. hittlesea
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Aon Gloucestershire iltshire and +omerset
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-han( ou for listening. )oes anone haean uestionsU
