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VAUGHAN DIAGNOSTIC & CARDIAC CENTRE

2640 Rutherford Road, Unit 102 Vaughan, ON L4K 0H3


Tel (905) 417 3001 Fax (905) 417 3006

Ref. Physician: Dr. Stefano Chiozza File No. : VD9887


Name : ALBANO, Carmine, Health Card :
Date of Birth : Date of Exam : 12 January 2017

CONSULTATION NOTE

Dear Dr. Chiozza,

Thank you for referring this very pleasant 82-year-old male, whom I saw in consultation
for pulmonary hypertension and right heart failure on January 12, 2017

He is married, has two children and was accompanied by his son.

He has got:

1. Pulmonary fibrosis on home oxygen.

2. Pulmonary hypertension. Right ventricular systolic pressure 71 mm.

3. Right hearty failure.

4. Left ventricular normal systolic with mild diastolic impairment.

No hypertension, diabetes, myocardial infarction or CVA.

Medications are Lasix, Lipitor, Caltrate and some other medications not known to him.

He quit smoking, takes no alcohol.

No previous surgery.

No known allergies.

In December 2016, he was not felling well. He went to Toronto Western Hospital with
increasing swelling of the ankles.

He is found that the swelling of the ankle has been increasing over the past one month.
He is short of breath on exertion. There is no orthopnea, PND or syncope.

You started him on Lasix with slight improving in the swelling of the ankles.

On examination, he is in normal sinus rhythm. JVP is elevated at the angle of jaw.


Chest has got diffuse crackles. S1, S2 is normal. No S3. Aortic sclerosis. Carotids are
normal.

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VAUGHAN DIAGNOSTIC & CARDIAC CENTRE
2640 Rutherford Road, Unit 102 Vaughan, ON L4K 0H3
Tel (905) 417 3001 Fax (905) 417 3006

Significant swelling of the ankles.

He has right heart failure secondary to the pulmonary hypertension secondary to


pulmonary fibrosis.

His left ventricle is normal.

He will be on Lasix 40 mg once a day to get rid of the swelling of the ankles, which is
from the right heart failure.

I will see him back in six weeks’ time and if it has not improved, I am going to add
Metolazone 2.5 mg once a day to his medical regimen.

I will see him back in follow-up.

Sincerely yours,

Dr. ANUP K. GUPTA, MD, FACC, FRCPC, FSCAI


Cardiologist
Dictated but not read: AKG / SAI
Date Reported : 12/01/2017
Date of Transcription : 13/01/2017