Mr.

Daniel Bautista
St Paul Hospital, General Luna St,

Iloilo City Proper, Iloilo City

January 13, 2021

Dear Ms. Michelle Zaragoza
Good Day!

I would like to refer Pt. Daniel Bautista, 47 years old, allergic to aspirin and penicillin.
Brought in by ambulance from work due to 10/10 sudden, crushing chest pain. Patient is
hypertensive takes anti-hypertensives with family history of heart diease. Pt. has High
stress job - executive at IT Company, poor diet – eats out a lot, high fat intake, non-
smoker, intermittent exercise – tends to join a gym for a month then quits. Jan 10,
Bloods taken for cardiac markers and ECG –ST elevation. Jan 11, Coronary
Angioplasty with i/o stent Bloods taken washigh cholesterol levels identified. Pt worried
about taking statins. Jan 12, Commenced anticoagulant daily (clopidogrel as allergic to
aspirin). Agreed to commence Simvastatin 40 mg daily. Chest pain – relieved by GTN
spray, ECG no extension of MI. Jan 13, BP is stable with no chest pain.
Cardiac Rehab for post MI education especially. Statins – encourage patient to keep
taking statins -needs to understand side effects and interactions. (e.g. grapefruit).
Check BP weekly. Report increased BP. Cardiac rehab develop cardiac exercise
program, monitor compliance with program.  Encourage adherence to weight loss
program – weekly wt. until follow up at Cardiac Clinic. Cardiac Clinic appt 6wks – to be
sent to patient.

Shayne Jessemae Almario.