NATS 1540 Chapter Notes - Chapter 2.2: Sunnybrook Health Sciences Centre, Anterior Interventricular Branch Of Left Coronary Artery, Ejection Fraction
31 May 2020
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Carl jones is a 53 year old male who was discharged from sunnybrook health sciences centre a week ago. He was admitted for a stemi (st-elevation myocardial infarction). You"re a pharmacist working in his family health care team. The patient brought with him a copy of the electronic discharge summary. Mr. jones is a 53 year old man who presents to hospital with crushing chest pain. He arrived to hospital via ems and was found to be diaphoretic, persistent cp, non-radiating, and no sob. He was quickly sent to the cardiac catheterization (cath) lab. Coronary angiogram showed 100% proximal left anterior descending (lad), 70% mid lad. Two drug eluting stents were deployed in the lad. Echo demonstrated left ventricular (lv) function grade 2 (normal is grade 1, most severe is grade 4) with apical hypokinesis** (ejection fraction estimated at 45% - normal is 70%). Signs of mild pulmonary congestion (heart failure) during his admission requiring oral furosemide to resolve.
