ER complaining of chest pain.

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Principal diagnosis:  

Additional diagnoses:

Patient:  John Smith     MR121212      Acct 000633553

The patient came into the ER complaining of chest pain.  EKG and labs, including troponin levels, were performed.  Nitroglycerin was administered and oxygen therapy initiated.  Results of the tests indicated that the patient was having an anterior wall myocardial infarction.  The patient was taken to the cath lab for immediate single vessel angioplasty.  Following the percutaneous coronary intervention, the patient was admitted to the floor.  He was monitored continuously.  Beta-blockers and Coumadin therapy were begun.  The patient’s hypertension was addressed and he received medication for low potassium levels as well.  His diabetes was well managed with medication and diet with no significant issues during the admission.  After four days, the patient was discharged home to continue his medication regime and begin cardiac rehab.