{"text":"a \n- NHS Greater Glasgow & Clyde: \n\u2018Dia 'nosis and Recomendations - . ) , | | ) \n\"> Omeprazole \n\" * RACP Discharge Letter: MRS AGNES CLELLAND \nRapid Access Chest Pain Service \n4 \n\u00a2 \nDr. Murray Hardie ~ - Co R \u2019 \nKilsyth Health Centre \nBurngreen Park \" . S : S \nG65,0HY o s o \n\u00bb \nDear Dr. Murray Hardie, . . = . \u2018 \nRe: MRS AGNES CLELLAND (CHI 0809555328) 38 Rennie Road Kilsyth Glasgow G oPQ \n\u00ab \n- EENRe \n- Your patient was'seen at the Rapld Access Chest Pain- Chmc on 28\/08\/2012.at Stobh[II Hospltal \nPresenting History \n\u2018New onset-of symptoms. 2 \u2018 \nPresenting Notes 3-4 month history of chest pains which:she fegls are progressmg in frequency Localised left snded dull \nache, no radiation. Can have assoc sweat. Lasts 5-10mins, now has GTN:s\/l.and feels this is effective \nafter-a.few mins. No obwous trigger: Eplsodes 0-2 times a'day, 2-3 times a week: \n\u2018Relevant Past Medical History S \n.Asthma, Type Il Diabetes, hypertenswn and hypercholest\u00e9rolaemia. ' . ; \n_ lnvestlgatlon R , \" . , T \nECG . L ETT fore \nHeart Rate: 76 (bpm) \u2018 ETT notdone. .~ \u00b0 : \u00a2 . . \nSinus rhythm: o : : . L \u2018 \nNormal conduction, St \nNon Ischaemic. ., \nClinical Findings o . . \nBP (mmHg) 144\/83 : : . LT \nSmoking Status Never Smoked - \n\u00a2 2 - * \u00a2 wr \u00a5 \nAdditional dlscharge comments: Following-assessment today; slightly atyplcal pain however risk factors++, she looks \nquite.pale and'l have taken off bloods today pnor to puttmg her on the treadmlll Sheiis.returning on. Thurs:for this if her \nbloods are ok: \n\" \n30\/08\/12 - returned today, bloods satisfactory. She uhfortunately managed a really low-workload on the treadmill'and this \nwas therefore inconclusive. In.view of her risk factors I have suggested she goesonto have a.Dobuitamine Thallium scan, \nwhich | will arrange. As she feels the GTN s\/l helps then |. have also recommended-a trial of Isosorbide Mononitrate 10mg \n\u2018BD:unless contraindicated. She has been glven a review, appointment to be seen-back.at:clinic.. \nFAO of nuclear medlcme: Current medlcatlon as.follows \nSimvastatin \nRamipril \nAspirin\u2019 \nMetformin \nFluoxetine \nSymbicort ) o \nSalbutamol e - s > , s \nCelecoxib : ST o, \nGabapentin . - \n\u2018GTN:\u00a7\/l: \n\u201cIsosorbide Mononitrate ?started \n\u201cNKDA * \n\" v \n- \nv \n- E \nPrinted by: Katy Joss on 04\/09\/2012.Page 1 of 2 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