Trinity University Hospital: Case: Myocardial Infarction

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 11

TRINITY UNIVERSITY HOSPITAL

Quezon City, Philippines

LABORATORY & DIAGNOSTIC RESULTS

Name: Ricardo Garcia Male Date of Birth: 8/20/1961


Age: 59 years old Ht: 170cm Wt: 80kg ICU 02 Medical Records Number: 123456

CASE: MYOCARDIAL INFARCTION

COMPLETE BLOOD COUNT:

RESULT NORMAL VALUE

WBC 8.5 5 – 10.0 x 10^9/L

RBC 5.2 4.7 – 6.0 x 10^12/L

HGB 14 13.5 – 18.0 g/dL


HCT 0.50 0.42 – 0.54
PLATELET 250,265 150,000 – 450,000

DIFFERENTIAL COUNT:
NEUTROPHIL 0.60 0.50 – 0.70

LYMPHOCYTES 0.42 0.20 – 0.44


MONOCYTES 0.05 0.02 – 0.09

EOSINOPHILS 0.03 0.00 – 0.04

BASOPHILS 0.01 0.00 – 0.01

Ricardo Dalisay, RMT Dr. Go Hae - Ri


Medical Technologist Pathologist

This is a hypothetical laboratory/diagnostic result for this case.


All names, events and scenario are not related to anyone or anywhere.
TRINITY UNIVERSITY HOSPITAL
Quezon City, Philippines

LABORATORY & DIAGNOSTIC RESULTS

Name: Ricardo Garcia Male Date of Birth: 8/20/1961


Age: 59 years old Ht: 170cm Wt: 80kg ICU 02 Medical Records Number: 123456

CASE: MYOCARDIAL INFARCTION

CREATININE

RESULT NORMAL VALUE

Creatinine 1.1 0.6 – 1.2 U/L

Ricardo Dalisay, RMT Dr. Go Hae - Ri


Medical Technologist Pathologist

This is a hypothetical laboratory/diagnostic result for this case.


All names, events and scenario are not related to anyone or anywhere.
TRINITY UNIVERSITY HOSPITAL
Quezon City, Philippines

LABORATORY & DIAGNOSTIC RESULTS

Name: Ricardo Garcia Male Date of Birth: 8/20/1961


Age: 59 years old Ht: 170cm Wt: 80kg ICU 02 Medical Records Number: 123456

CASE: MYOCARDIAL INFARCTION

LIPID PROFILE

RESULT NORMAL VALUE

Cholesterol 250 < 220 mg/dL

Triglyceride 320 < 200 mg/dL

HDL – Cholesterol 63.32 > 60mg/dL


LDL – Cholesterol 6.9 <3.38mmol/L
VLDL – Cholesterol 111 70-110 mg/dL

Ricardo Dalisay, RMT Dr. Go Hae - Ri


Medical Technologist Pathologist

This is a hypothetical laboratory/diagnostic result for this case.


All names, events and scenario are not related to anyone or anywhere.
TRINITY UNIVERSITY HOSPITAL
Quezon City, Philippines

LABORATORY & DIAGNOSTIC RESULTS

Name: Ricardo Garcia Male Date of Birth: 8/20/1961


Age: 59 years old Ht: 170cm Wt: 80kg ICU 02 Medical Records Number: 123456

CASE: MYOCARDIAL INFARCTION

HBA1C

RESULT NORMAL VALUE

HBA1C 5% 4 – 12%

Ricardo Dalisay, RMT Dr. Go Hae - Ri


Medical Technologist Pathologist

This is a hypothetical laboratory/diagnostic result for this case.


All names, events and scenario are not related to anyone or anywhere.
TRINITY UNIVERSITY HOSPITAL
Quezon City, Philippines

LABORATORY & DIAGNOSTIC RESULTS

Name: Ricardo Garcia Male Date of Birth: 8/20/1961


Age: 59 years old Ht: 170cm Wt: 80kg ICU 02 Medical Records Number: 123456

CASE: MYOCARDIAL INFARCTION

COAGULATION STUDIES

RESULT NORMAL VALUE


PT 15 11 to 13.5 seconds
PTT 26 25 to 35 seconds
INR 1 0.8 to 1.1

Ricardo Dalisay, RMT Dr. Go Hae - Ri


Medical Technologist Pathologist

This is a hypothetical laboratory/diagnostic result for this case.


All names, events and scenario are not related to anyone or anywhere.
TRINITY UNIVERSITY HOSPITAL
Quezon City, Philippines

LABORATORY & DIAGNOSTIC RESULTS

Name: Ricardo Garcia Male Date of Birth: 8/20/1961


Age: 59 years old Ht: 170cm Wt: 80kg ICU 02 Medical Records Number: 123456

CASE: MYOCARDIAL INFARCTION

ELECTROLYTES

ELECTROLYTES RESULT NORMAL VALUE

Potassium 5 3.5 – 5.5 mEqs/L

Ricardo Dalisay, RMT Dr. Go Hae - Ri


Medical Technologist Pathologist

This is a hypothetical laboratory/diagnostic result for this case.


All names, events and scenario are not related to anyone or anywhere.
TRINITY UNIVERSITY HOSPITAL
Quezon City, Philippines

LABORATORY & DIAGNOSTIC RESULTS

Name: Ricardo Garcia Male Date of Birth: 8/20/1961


Age: 59 years old Ht: 170cm Wt: 80kg ICU 02 Medical Records Number: 123456

CASE: MYOCARDIAL INFARCTION

TROPONIN I

RESULT NORMAL VALUE

Troponin I 50 <0.3 ng/mL

Ricardo Dalisay, RMT Dr. Go Hae - Ri


Medical Technologist Pathologist

This is a hypothetical laboratory/diagnostic result for this case.


All names, events and scenario are not related to anyone or anywhere.
TRINITY UNIVERSITY HOSPITAL
Quezon City, Philippines

LABORATORY & DIAGNOSTIC RESULTS

Name: Ricardo Garcia Male Date of Birth: 8/20/1961


Age: 59 years old Ht: 170cm Wt: 80kg ICU 02 Medical Records Number: 123456

CASE: MYOCARDIAL INFARCTION

CHEST XRAY PA HIGH SITTING

Source: https://radiopaedia.org/cases/thoracic-aorta-senile-ectasia
Findings:
- Present radiograph shows clear bilateral lungs
- Lungs are not infiltrated
- Heart is not enlarged
- Noticeable costophrenic sulci
- Atheromatous Aorta
- Rest of the study is normal

Impression:
- Normal Chest Xray
- Atheromatous Aorta

Ricardo Dalisay, RMT Dr. Go Hae - Ri


Medical Technologist Pathologist

This is a hypothetical laboratory/diagnostic result for this case.


All names, events and scenario are not related to anyone or anywhere.
TRINITY UNIVERSITY HOSPITAL
Quezon City, Philippines

LABORATORY & DIAGNOSTIC RESULTS

Name: Ricardo Garcia Male Date of Birth: 8/20/1961


Age: 59 years old Ht: 170cm Wt: 80kg ICU 02 Medical Records Number: 123456

CASE: MYOCARDIAL INFARCTION

ELECTROCARDIOGRAM

Source: https://www.healio.com/cardiology/learn-the-heart/ecg-review/ecg-archive/inferior-
wall-myocardial-infarction-ecg-1
Impression:
ST Segment elevation: >1mm
QRS complex – Narrow
Leads II, III, AVF
P wave – present
PR – 0.12 seconds Inferior Wall Myocardial Infarction
QRS complex – 0.12 seconds
Ventricular Rate: 50 beats per minute

Ricardo Dalisay, RMT Dr. Go Hae - Ri


Medical Technologist Pathologist

This is a hypothetical laboratory/diagnostic result for this case.


All names, events and scenario are not related to anyone or anywhere.
TRINITY UNIVERSITY HOSPITAL
Quezon City, Philippines

LABORATORY & DIAGNOSTIC RESULTS

Name: Ricardo Garcia Male Date of Birth: 8/20/1961


Age: 59 years old Ht: 170cm Wt: 80kg ICU 02 Medical Records Number: 123456

CASE: MYOCARDIAL INFARCTION

Source: https://www.researchgate.net/figure/M-mode-LV-study-showing-the-inferior-wall-
hypokinesis-with-contractile-dysfunction-EF_fig11_315994557
Impression:
- Ejection Fraction: 50% (Normal Reference: >58%)
- Normal left ventricular dimension with left ventricular mass index of 80.02 gm/m2 and
normal right ventricular dimension with adequate wall motion.
- Noted hypokinesia at the inferior wall segment of the left ventricle.
- Atherosclerotic aortic root

Ricardo Dalisay, RMT Dr. Go Hae - Ri


Medical Technologist Pathologist

This is a hypothetical laboratory/diagnostic result for this case.


All names, events and scenario are not related to anyone or anywhere.
TRINITY UNIVERSITY HOSPITAL
Quezon City, Philippines

LABORATORY & DIAGNOSTIC RESULTS

Name: Ricardo Garcia Male Date of Birth: 8/20/1961


Age: 59 years old Ht: 170cm Wt: 80kg ICU 02 Medical Records Number: 123456

CASE: MYOCARDIAL INFARCTION

CORONARY ANGIOGRAM AND ANGIOPLASTY REPORT


Patient Name: Ricardo Garcia Age/Gender: 59/Male
Date of Birth: 08/20/1961 Race: Asian/Filipino
Study Date: 11/04/2020 Height: 170 am
Study Number: 123456 Weight: 80kg
Interventionalist: Dr. W. Dy
Procedure: Coronary Angiogram/Angioplasty

Indication: With no known comorbidities, came to ER with chest pain. Undergone Thrombolytic
therapy prior to coronary angiogram however, still with chest pain noted hence transfer of hospital
was done.
Coronary Arteries:
Left Main Coronary Artery: It is a 4.0 mm vessel without disease
Left Anterior Descending Artery: 3.5 mm vessel without disease
Left Circumflex Artery: 3.0 mm vessel without disease
Right Coronary Artery: 3.0 mm vessel with 90% blockage at the midsegment.

Impression: Severe Coronary Artery Disease of RCA


Successful Coronary Angioplasty of RCA with 1 stent
Plans: Dual Antiplatelet Therapy
Optimal Medical Therapy and Risk Factor Modifications
Dr. W. Dy Dr. E. Uy Dr. M. Fang
Interventional Cardiologist Interventional Fellow Interventional Fellow

Ricardo Dalisay, RMT Dr. Go Hae - Ri


Medical Technologist Pathologist

This is a hypothetical laboratory/diagnostic result for this case.


All names, events and scenario are not related to anyone or anywhere.

You might also like