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Hospital Discharge Report

Patient
Name: Lefèvre, Roger
DOB: 26-JUN-1944 (Age: 81)
Gender: male
ID: 4279-145450-9
Author
family_name, given_name
Hospital Discharge Report
Report Date: 02-AUG-2021
Hospital Admission: --
Hospital Discharge: --

Synthesis

Post aortic valve replacement follow-up, anticoagulation and cardiac status reviewed

Hospital course note

Dear colleague, I am writing to inform you regarding our mutual patient, an 81-year-old male admitted for follow-up evaluation following his prior aortic valve replacement. During his brief admission, we performed a thorough cardiac assessment including echocardiography and ECG to evaluate prosthetic valve function and overall cardiac status. Laboratory investigations including coagulation parameters (INR) were reviewed, and anticoagulation therapy was adjusted accordingly. The prosthetic valve demonstrated satisfactory function with no evidence of thrombosis, paravalvular leakage, or endocarditis. Haemodynamic status remained stable throughout admission. Current anticoagulation regimen was optimised prior to discharge. We recommend continued INR monitoring at regular intervals and prompt reassessment should symptoms of dyspnoea, chest pain, or palpitations arise. Please do not hesitate to contact our cardiology department for any further queries.

Diagnosis at Discharge

Presence of prosthetic heart valve 02-Aug-2021 active

    Significant procedures

    Transthoracic echocardiography (procedure) 01-Aug-2021 -