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Hospital Discharge Report
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Synthesis
NSTEMI, treated with PCI
Hospital course note
Dear colleague, I am writing to inform you about the hospital course of your patient,
a 68-year-old female, admitted on 24/02/2015 with acute chest pain and dyspnoea. On
admission, ECG showed ST-depression in leads V4-V6, and serial troponin measurements
were significantly elevated, confirming the diagnosis of Non-ST-Elevation Myocardial
Infarction (NSTEMI). Echocardiography revealed mildly reduced left ventricular function.
The patient was commenced on dual antiplatelet therapy, anticoagulation, and a statin.
Urgent coronary angiography demonstrated a significant stenosis of the left anterior
descending artery, which was successfully treated by percutaneous coronary intervention
(PCI) with drug-eluting stent implantation on 25/02/2015. Post-procedural course was
uneventful. The patient was discharged on aspirin, ticagrelor, ramipril, bisoprolol,
and atorvastatin. Please ensure close follow-up within two weeks.
Medications
| 2015-02-24 | - | - | - |
Diagnosis at Discharge
| Acute subendocardial myocardial infarction | 25-Feb-2015 | active |
Significant procedures
| Administration of anticoagulation therapy | 24-Feb-2015 | - |