Patient Summary
Comprehensive clinical summary for the current encounter
Patient
Suresh Patel
58M · UH-2026-0814 · IP-2026-0814
Admission
18 Jun 2026
Day 5
Consultant
Dr. R. Mehta
Cardiology
Status
Admitted — Ward 2 / Bed 8
Diagnosis
Primary
Non-ST Elevation Myocardial Infarction (NSTEMI)
Secondary
Hypertension · Type 2 DM · Dyslipidaemia · CKD G2
Allergies
Contrast dye (urticarial rash) — pre-medicate if needed
Procedures Done
19 Jun 2026Coronary Angiography — RCA 90% stenosis, LAD 70%
20 Jun 2026PCI to RCA — DES placed, TIMI 3 flow achieved
20 Jun 2026Intra-aortic balloon pump inserted (removed 21 Jun)
Clinical Progress
18 JunAdmission: chest pain × 6h, ECG changes in V4-V6, Troponin rising. Anticoagulation started, dual antiplatelet therapy initiated.
19 JunCoronary angiography: significant 2-vessel disease. RCA critical, LAD moderate.
20 JunPCI to RCA — uncomplicated. Post-procedure haemodynamically stable. IABP inserted for LV support.
21 JunIABP removed. Tolerating oral medications. Echo: LVEF 45%. NYHA II.
22 JunClinical improvement. No chest pain. Ambulating in room. LVEF reassessment planned pre-discharge.
Discharge Plan
Anticipated discharge
23 Jun 2026 (pending echo result)
Discharge medications
Aspirin + Clopidogrel (12 months), Atorvastatin 40mg, Bisoprolol, Ramipril, Metformin (review eGFR)
Follow-up
Cardiology OPD — 1 week (Dr. Mehta) · Echo repeat — 6 weeks
Cardiac rehab
Referred — commencement in 2 weeks post-discharge