71 YO/ MALAY/ FEMALE U/L 1) DM -MOPD FOLLOW UP -ON T.

DIAMICRON -ON S/C INSULATARD 10 U ON 2) HPT 3) IHD -CABG DONE IN 1996, 4 VESSELS DISEASE, STENTING DONE IN 2011 -STILL UNDER IJN FOLLOW UP -ECHO IN 2012: EF 68% -NEXT TCA: 21/12/13 P/W 1) CENTRAL CHEST PAIN AROUND 10PM -HEAVY, COMPRESSING IN NATURE -LASTS ~15MIN -RELIEVED BY S/L GTN X2 WITHIN FEW MINUTES -P/S: 5/10 -OCCURED DURING REST -NOT RADIATING TO LEFT ARM OR JAW -PAIN STARTED THE DAY BEFORE ADMISSION AFTER CLERING DRAIN -A/W: MILD SWEATING, PALPITATIONS O/E ALERT, CONSCIOUS BP 134/70 PR 81 RR 20 REFLO 12.8 T 37 LUNGS CLEAR CVS S1S2 P/A SNT NO PEDAL EDEMA UPON DISCHARGE, -PATIENT IS WELL -NO ACTIVE COMPLAINT -NO SOB -NO PALPITAION -NO CHEST PAIN -GOOD ORAL INTAKE O/E ALERT, CONSCIOUS BP 134/70 PR 81 RR 20 REFLO 12.8 T 37 LUNGS CLEAR CVS S1S2 P/A SNT NO PEDAL EDEMA

DX ACS

IHD DIABETES MELIITUS HYPERTENSION

PATIENT IS DISCHARGED WITH: -T. VASTRAL 20MG TDS -T. ISDN 10MG TDS -S/C GTN 1/1RN -C. OMEPRAZOLE 20MG OD -T.ASPIRIN 150MG OD -S/C INSULATARD 10 U ON -T. METFORMIN 1G BD -T. SIMVASTATIN 20MG ON -T. METOPROLOL 100MG BD

-CONT TCA MOPD -IJN APPOINTMENT ON 17/10/13 AT 11.30 AM PROTEIN 69 ALBUMIN 33 GLOBULIN 36 T. CHOLESTEROL 2.4 TRIGLYCERIDE 2 HD; 0.88 LDL 0.61 UREA 7 SODIUM 141 POTASSIUM 4.2 CREATININE 100 FBS 7.6 TROP I 0.06