Professional Documents
Culture Documents
North York Diagnostic & Cardiac Centre
North York Diagnostic & Cardiac Centre
North York Diagnostic & Cardiac Centre
Many thanks for referring Mr. D’Agnone for cardiovascular assessment. This 45-year-
old Systems Administrator is married and has two children.
His medical history is significant for diabetes diagnosed 15 years ago. He has been
treated with insulin. He is followed by Dr. Goldenberg. He also has congenital
dyserythropoiesis with anemia. He is followed by Dr. Richard Ward at Toronto General
Hospital. He has also developed arthritis in his knees and ankles. There is no history
of coronary disease, stroke, renal insufficiency or bleeding.
His medications include vitamin D, Naproxen, Insulin and an iron chelator. He has no
known drug allergies. He quit smoking 15 years ago. He rarely consumes alcohol.
There is no family history of coronary disease.
Mr. D’Agnone leads a rather sedentary life. In the summer, he would occasionally bike
with his daughter but over the winter, he has minimal exercise. He remains
asymptomatic. Specifically, he denies any symptoms of chest pain, tightness or
pressure, shortness of breath, presyncope, syncope or palpitations.
On examination, his heart rate was 80 beats per minute and regular and blood pressure
was 140/70 mmHg. Heart sounds were normal. Chest was clear. There was no
peripheral edema.
Sincerely,