is METRO wenieomes HOSPITAL & HEART INSTITUTE (Ant Mo tof cel Scenes PALS) ‘Ge Voto ot 1800 PTC css (AH NAB. 8180 50: 2008 aad) DEPARTMENT OF CARDIOLOGY DISCHARGE SUMMARY (Mr. Mukesh jain ‘AGE / SEX 55 yrs/M 21/03/2023 0-0-0 26/03/2023 10 NO 2021003720 WARD PvT (110) 1PNO 2021001658 ‘CONSULTANT: DR. SANJEEV SAXENA / DR. VARAD GUPTA DIAGN IeD Code Type TDM . 125.1°101" ‘CAD/Ac. IWMI (Thx with STK) Single vessel disease PTCA/DES (Firehawk) to RCA was done on (24.03.2023) Mild LV systolic dysfunction EF 4696 COVID-19-RT-PCR-TEST NEGATIVE (22.03.2023) PRESENTING COMPLAINTS ON ADMISSION: Chest pain Vitals at admissi PR_|73/min 340/90mm [RR | 20/min [Temp [98.8°F Physical Examination ave : Not raised cvs $1, 52+ Chest :B/Lclear ‘Abdomen: Soft, no organomegaly \nvestigation at Time of Admission: Date: 21.03.2023 Hi 352 [wie 9,400 bic (N70 24 €03 M03 Platelet count |1.78 | ESR 14 UREA 340 [Creatinine [0.90 | NA 140.0 _(K 46 INR z All report attached on the discharge summary. Khushi Agarwal 47/G-5, Boundary Road , Lal Kurt, Meerut Cantt-250001 Ph: 0121-2665033 /41/ 42 /44, Fax: O181-2645304 Registered office : 14, Ring Road, Lagpat Nagar-IV, New Delhi-110024NAME Mr. Mukesh jain AGE/SEX | 55 yrs/M. D-0-A 21/03/2023 D-0-D 26/03/2023 IDNO 2021003720 ‘WARD PvT (110) [1pINo [2021001658 _| ‘CONSULTANT: DR. SANJEEV SAXENA / DR. VARAD GUPTA HOSPITAL COURSE: Mr. Mukesh jain, age 55 yrs, Male non-hypertensive, diabetic was admitted for CAG with the complaint of chest pain, His ECG shows Ac. IWMI thrombolized with STK given. His EHCO shows LV normal in size with mild hypokinesia of basal inferior region, LV RWMA, RV normal in size with adequate systolic function, Mild LV systolic dysfunction EF 46%.After stabilization His CAG was done which revealed Single vessel disease. Patient and attendant were advice for PTCA/DES to RCA, after taking consent his PTCA/DES (Firehawk) to RCA was done. Post procedure stay was uneventful; So Patient is being discharge in stable and satisfactory condition. CAG + PTCA/DES (Firehawk) to RCA was done on (24.03.2023) PROCEDURE: with Eptiday (Eptifibatide IV Antiplatelet infusion therapy) done. POST PROCEDURE: Post procedure stay was uneventtul Vitals at the time of discharge: PR_ | 74/min | BP | 120/70 mm_| RR 20/min | Temp | 98.6°F ‘Advice'on disch: Preventive Care: Stress free life Regular Exercise 1 let: Low fat /Low salt/Sugar free det Treatment: ‘Drug Name Dosage Frequency Timing ‘Special inst. 1. TAB. CLAVIX AS: 75+150MG ‘once daity 7pm 2. TAB. ATORICA s0mG once daily 7pm 3. TAB.RANCV 500MG twice dally 7am-7pm 4. TAB. NIKORAN: SMG twice daily Tam-7pm 5. TAB.FLAVEDONMR —1TAB twice daily 7am-7pm 6. TAB. LOSAR 2sMG twice daily — 9am-9pm 7. TAB. ZORVL ime before breakfast & before dinner S0MG before breakfast & before dinner 40MG ‘once daily Jam osme bedtime 10pm 200MG twice dally Sam-3pm_x3days 1/2 TAB twice daily. Sam-9pm x3days/SOS 13. TAB. MUCINAC 600MG thrice daily 8am-2pm-8pm (after dissolve)xSdays 14, TAB.CHYMORALFORTE tab twice dally 9am-Spm x2days Follow Up/ Recommendation: To review in cardiac OPD after 15 days. Khushi AgarwalMr. Mukesh jain AGE / SEX ‘55 yrs/M. DOA 23/03/2023 00D 26/03/2023 iDNO 2021003720, WARD PVT (310), 1PNO | 2021001658 | coNSULTANT: DR. SANJEEV SAXENA / DR. VARAD GUPTA = ‘When and how to obtain urgent care.... tg Boe Pa Hit If patient develops severe chest pain, report to emergency immediately. rake aN keke ee ek cee, ae ah ak es ee Fed wt breathlessness, headache, palpitation, nausea, vomiting, please Emergence services are available round the clock. pret dara 2 wae th per ox vel ith mo, om rec Khushi Agarwal