{"text":"\u2122 \n'Emergency Care and \n\u2018Acute Services Drvision . - o NHS | \ni i i 5 o . \u2018 : Greater G!asgow \nMgd:cal Service Directorate i \u2018 \"and Clyde: - \nDEPARTNMENT OF CARDIOLOGY \u2018 Correspondence Address; \nStobhill Hospital _ .Depariment of Cardiology \n2 . Glasgow Roya! Infirmary \nCasfle Street \n] Glasgow G4 -0SF . \n14\/12\/2012 \nDictated ~ 14\/12\/2012 v Dr FG Dunn (Secretdry 211 5500) \nTyped 27M22012 - DrN E R Goodfield (Secretary 232 1042) \nQur Ref ASIMD - Dr J Lindsay (Secretary 211.9370) \nDt Murray Hardie \nKilsyth Medical Partnership \nKilsyth Health Centre \nBurngreen Park, \n\u2018Kilsyth \nG65 0HU \\ o \u00ab o : o \nDear Dr Hardie \n' Aghes Clelland ~ 08\/09\/1955 ~ CHI: 0809555328 ~'C'RN: 10338654X \n_ 39 Rennie Road, Kils h_ Glas \u2018ow G65 9PQ ) \n. Angina \n. Large defect on thallium scan \n. Type 2 diabetes mellitus. \nDiagnoses 1 \nS 2 \n3 \n4. Hypertension \n5 \n6 \n7 \nr \n. Hypercholesterolaemla \n. Recent injury, Achilles\u201d tendon rupture awaiting orthopaedrc surgery \n. Asthma \nThis Iady\u2018 was .seen -fdllowing \u2018her attendance in the Rapid Access Chest Pain Clinic. which was in \n\u2018September when,she managed only a short time on the exercise treadmill. A thallium scan done \non 1% October showed a large defect in the LAD\/circumflex territory. It was a Dobutamine stress \nscan and the area of revers\ufb02:jllrty was:thought to be small to moderate but | suspect it is a high risk \nstill she is still experiencing symptoms of angina despite being started on antianginal therapy. | \n\u2018have discussed this with her today and referred her on for coronary anglography \nIn the interim, of course, we can further increase her antianginal therapy. She is not on a beta \nblocker at the moment because of her \u2018asthma and requirement of inhaler therapy. An option will \nbe to start her on alimiting calcium channel blocker like Diltiazem to'get her heart rate under better \" - \ncontrol as it is currently 76 beats per minute. = \nYours sincerely, \nDr Aadil Shaukat \nST5 - \nGLELLAND, Agnes ' . 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