report(about the patient)

Cardiac – Outpatient

Scenario: 62-year-old male admitted to the hospital on Monday at 8am with an acute inferior wall MI. Patient underwent emergency PTCA 2.5 hours after the initial onset of chest discomfort. The MI was considered to be uncomplicated and the angioplasty procedure went well. Inpatient cardiac rehabilitation was ordered by Dr. Cardiology to begin on Monday evening. The patient successfully completed inpatient rehabilitation and was discharged Wednesday. The patient has now been prescribed outpatient rehabilitation at your facility.

Demography: Male, 62 years of age Normal weight Smoker Very little exercise history (walks the dog QOD) Hypertriglyceridemia No additional risk factors

Medications (prescribed post MI): Cardizem BID Plavix QD Crestor QD

Baby ASA QD Sublingual NTG prn

Hospital course: Resting HR averaged 84 throughout hospital course. Consider the hospital course to have gone well (put in a few minor problems). Dr. Cardiology ordered a LL-GXT for 8:00am Friday. The results are as follows:

Stage

0 0.5 I

HR BP

(1.7/0%) 100 (1.7/5%) 110 (1.7/10%) 120

120/68 130/70 142/68

EKG changes/signs/symptoms/ectopy

none

none

none