Friday, January 24, 2020

Patient Report Essay -- Medical Report

A treadmill stress test for atypical chest pain demonstrated inferior wall ischemia. Cardiac catheter demonstrated patent graphs and left ventricular ejection fraction of 68%. Treadmill stress test felt to be false positive; however, patient did have 5 beats of ventricular tachycardia. Holter demonstrated 3 beats of multifocal ventricular tachycardia. The patient was placed on Cardizem and atypical chest pain resolved. The patient complained of periods of "difficulty breathing", especially when he awakened at night to urinate. Cardizem was increased and pulmonary function tests were normal with no evidence of respiratory failure. The patient also reported flu 3 weeks prior to ___ [DATE]. Patient also seen about 2 weeks ago by ____ [NAME] and is on Coumadin for episode of atrial fibrillation. Holter to determine if Coumadin could be stopped. The patient came to clinic on day of admission to be seen, noting severe shortness of breath, now almost constant as if he could not ge t enough air. The patient had to deep breathe. The patient also complains of nausea, poor sleep, cou...

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