OoclD:35ADD637F43E1725EFCE9C745ED691CD

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·~·GVHealth Episode:
UR:
685685
418976
Name: BARRY, Mr Matthew
Inpatient Discharge Summary - MRO
DOB: 13/03/1973
Sex: M
111111111111! 11111111111 Alerts:

Consultant: DR ANIL XAVIER

Referring doctor:
Local doctor: DR AHMED AZAM

Admission date: 17-Feb-2019 Discharge date: 19-Feb-2019

Discharge to: Home

Follow up: Other specialist/provider - GP and Cardiology SCS Follow up in 2 weeks

Expected/planned to be re-admitted in the next 28 days? No

Final diagnosis:

RVF (newly diagnosed)

RHF
Pulmonary hypertension

Current conditions:

IHD
OSA

Identified risks:

None specified.

Smoking status: Ex-smoker

Summary of attendance:

45 year old gentleman admitted with acute Right Heart Failure on the backgroung of cor-pulmonale

#Right Heart Failure

-Presented with fatigue and SOB
-Recently stopped smoking
-Telemetry 24 hours
-IV frusemide
-1.5 L fluid restriction
-Spironolactone 25mg ceased and started on Nebivolol
-1.25mg daily

Significant results:

418976: BARRY, Mr Matthew , 13/03/1973 - Inpatient Discharge Summary (MRO)

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TIE
Mild global systolic dysfunction; estimated LVEF 43 + 5%. Mild compression of the LV cavity due to
flattening/bowing of the interventricular septum .. Moderate tricuspid regurgitation. Severe pulmonary hypertension
with estimated RVSP 83mmHg .. Severe right ventricular dilatation with severe systolic dysfunction. Small
posterior pericardia! effusion, of no haemodynamic consequence .. The patient was transferred to the GVH
emergency department for urgent inpatient evaluation and stabilisation.

Discharge plan:

1.D/C Home
2.GP follow up in 2/52 with repeat UECs
3.Cardiology follow up (SCS) for Pulmonary Hypertension work up

Discharge medications:

None specified.

Completed by:

Responsible clinician: A.Xavier

Designation: Consultant

Electronically signed by Mofenyi Mafa on 19-Feb-2019 14:08:19

Date: 19-Feb-2019

Version no: 2 (episode no: 685685)

MRO (version 1), 01/08/2014

416976: BARRY, Mr Matthew , 13/0311973 - Inpatient Discharge Summary (MRO)

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