coronary heart disease case scenarios. mr smith 55yr old lorry driver 3-4 weeks history of chest...
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Coronary Heart Disease
Case scenarios
Mr Smith
55yr old Lorry Driver 3-4 weeks history of chest pains,
unrelated to exertion except when lifting heavy objects. Anxious re heart
What do you do next?
Mr Smith
History:
Smokes 20/day No exercise Family history of IHD
Mr Smith
Obese BMI 32 BP 182/101 CVS otherwise normal
What tests do you do now?
Mr Smith - Investigations
Bloods: FBC U+Es LFTs Fasting lipids Fasting sugar ECG Follow up?
Mr Smith 6 months later
Phones you with chest pain, central and crushing lasting 20 minutes so far
Describe your immediate actions
Mr Smith – post MI
How will you follow up Mr Smith?
What issues will need to be addressed?