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.

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Presentation transcript:

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?