nM royal hospital
Discharge Summary
Name: MR. IRFAN AZIZ KHAN AZIZUDDIN AHMED KHAN MIR No. 'uas300000065265
Age/Sex 59 YIM Visit 1D ‘A13123090000526
Weight: 4 ‘Admission Date: 07-09-2023 1727
Doctor: Dr. Kamal Al Abdi Discharge Date: 10.00.2028 18:00
Department. Carsiclogy WardiBea cou, SFiccU 2
‘Sponsor, DAMAN - NATIONAL HEALTH INSURANCE
Company
1UAS30000006
4. Final Diagnosis
Diag. Type Diag. Code Description Remarks
Principal 09 Angina pectors, unspeotied
Secondary O43 ‘Amnormal electrscardiogram [ECS]
[eK]
Secondary 78S Hypetipidemia, unspecified
Secondary 94.39 ‘Abnormal result of other cardiovescular
function stusy
Secondary 21.9 Gastro-esophageal refux disease
without esopnagtis
Allergies Details:
Allergy Type Allergy Description Date of Onset Reaction Status Severity
rug Allergy to emoxicilin 07-09-2023 nt Active Mid
Food Allergy to egg protein 07-09-2023 Redness ‘Active Mid
2.Operations/Procedures
Operation Name Operation Code Operation Type Remarks
Not Applicable
4.Chief Complaint / Reason for Admission
Complaint: Central chest pain for 5 days. refered from NMC Specialty
Other Complaints: Not Applicable
Significant Findings
Significant History:
“The pation isa 69 years old male, known smoker, wth no notable past medical history. who presente to emergency
department with 2 complaint of on and off chest pain for the past § days, worsened with exertion, Patient vised ANG
‘Specialty Hospital, Abu Dhabi last week and had a posite tteadmil test. Troponin | was negate Electtocardiram
showed T inversion in lateral leads, VS and VB. In Emergency Department, he was loeded wath Acpiin. He was
transferred to Coronary Care Unit for close observation, further investigation ard management
Physical Examination: CARDIOVASCULAR - Palpation of Heart, Yes, Auscultation of Heart. Ves, Measurement of
Pin two or more extremities, Yes, Examination of Carat Arteries Yes, Examination of Abdominal Aorta, Yes
Examination of Femoral Arteries, Yes, Examinaton of Pedal Pulses, Yes, Examination ol Extremities of perpheral
{edema and/or vancosttes, Yes, RESPIRATORY - Assescment of Respiratory Effort. Yes, Ausculation of ange
Yes, GASTROINTESTINAL - Abdomen Sof, with no masses, Yes, No Hepatospleromegaly Yes, Guinic Negative lf
cated). Yes, NEUROLOGICALIPSYCHIATRIC - Brief assessment of mental status inchiding Onentation te time,
place and person . Yes, Brel assessment of mental status Including Mood and affect (e.g. depression
anxiaty, agitation). Yes, Cardiovascular System - Cardiac Rhythm Regular. Yes. Cardiac Rhythm Iregular, No, Ch
NMC Royal Hospitat Les
soe steest en cn =
Registered office: 004#16-109-009, 16 Floor, WeWiork Hub7I, AL Khater Tower
764859, Abu Dhabi, UAE. ADGM CL 0000024
AADGM Square, Al Maryah laland, P.O.Discharge Summary
Name: MR.IRFAN AZIZ KHAN AZIZUODIN AHMED KHAN. MR No: ‘assoond0063265,
AgelSex 591M Vist 1: ‘A13122080000526
Weight: ‘drission Date: 07-09-2003 17:27
Doctor: Dr Kamal Al Abdi Discharge Date: 40.09.2023 18:00
Department Cardiology WrarasBeo! ecu, SFICCU2
Sponsor DAMAN - NATIONAL HEALTH INSURANCE
‘COMPANY.
uassoonn0063365
Gacanfaripan Win), NoRECEIED MEDICATION FROM ER, Pam score, No-0IT0, Gyanosis (VN) No, Edema
YIN) No, Pulse rate Normal, Yes, Puls rate Tachycardia, No, Pulse rate Bradycarda, No. Equal penphera puses
(YN), Yes, Capliary rel (2 Sec), Yes, Capilary ref 2 Se), No, Palitation (YIN), No, Any pressure
Gressingsipressure bandagelsheatn (YIN), No, Dstended juguar veins (YPN) No,
osprey System. Nona reepfatory rate and pattern, Ves, Cough f Yes Specty (Productive / Non Prosuctve)
NevDycorea No. Use of accessory muses of respraton, No, Acentry equa on BOM sides, Yes, Abnormal breath
weinda Ne, On oxygen therapy (yee specty the flow fate), No, Gastrointestinal System - Ora hrushiueers/any
Fart ouomen cote Yer” Pai tenemess, No, Abdominal Distention (i yes speciy the abdominal get), No,
seeezdivonming, No, Hematerness (yes how many episodes), No, Constipation’ Diarmea, No, Melena (if yes how
aa a ycsoes) No, Normal bowel sounds, Yes, Gensounnary System Unnary incontinence, No, Unnary retention:
ra Agoacate ouput (Ire spect) Yes, Hemetisia, No, Dysuraluigancyrequency. No, Foley insu, No. Urine color,
oa tow, Neulogical sytem. Glasgow Coma Scale, Yes-16'15, Speech Clea, Yes, Aphasic, No, Steady
Taree Tremors Ne, Soares, No, Headache. No, erg, No, lnvlurary movernens, No, Nermal muscle
Srenatr. Yes, Normal reflexes", Yas, Sensation present nal rcas (ino spect)". Yes
sere lie “Depression, No, Ansty, No, Inomma. No, AgtatedRestess, No, Alcohol drug withdrawal (yes
Peer scacsraetal este - Ful Range of Moon, Yes, Normal gat, Yes, Any Deformity, Ne Atala, No
Seen iarwen No, Tracioricast No Integumentary System - Clean and intact, es, Normal sn turgor. Yes,
arr ie aor No, Endocrine system - Heglcadinflerance, No, Thyra enlargement. No, Excasswve sveatg
ao ne alpyosia Ne, Repl weit ganfoss, No, Excessive fatigue, No, ENT -Rrinormen/Cohoea No
a eee int, No, Sore toa. No, Deviate nasal septum. No, Normal heating, Yes, Normal vision - Normal
Eas srg wsion Yes USEING EYE GLASSES, Diplopia, No, Redness, No, Watering scharge, No, Tubes
vision, No. Bi eyatcandom suprepubeeatte, No, ICD, No, Surcal in, No, Ryle s tube feeing/aspraton”).
Br ine Oia biners (Spec), No, ivasve Lins - IV cannula (Specity Ste), Yes-18 gon left han, Physical
Findings - Normal, Yes,
past Family & Social History: Past Mesical/ Surgical History: NS, Family istry: CORONARY ARTERY
BISEASE, HYPERTENSION, Social History: nonsmoker,
Significant investigation Results:
Siar glood Count With WBC Ditforetial, EDTA Whole Blood CPT: 85025 Last Updated Dat: 2022-08-10
16:13:43.0
‘Sampled Date : 07-09-2025 18:37:17
Test Description Result Units
Total W 8 C Count 309 10°91.
RBC Count 467 MAO
Hemoglobin 146. oa.
Hematocrit (CV) 24 e
Mean Corpuscular Volume 08 a
Mean Corpuscular Hemaglobin, 313 a
Mean Corpuscular Hemoglobin C a,Discharge Summary
Name: MR. IRFAN AZIZ KHAN AZIZUDDIN AHMED KHAN MR Noi
Age'Sex 59 yin Visit 1D
‘uas300000083265
{484 Last Updated Date: 2022.09.08 08:55:21.0
Sampled Date : 07-09-2023 18:37-17
Test Deseription Resutt
Troponin =|, High sensitive, Serum
=0.002
Samed eee Na. K, Cl, Bicarbonate) Serum CPT: 0081 Last
Sampled Date : 07-09-2035 18.37.17,
Test Description
K
Se
Bicarbonate, Serum 254 a
‘Sampled Date : 08-09-2023 99. 35:20 em)
{Troponin | High sensitive, Serum
S244 Profile, Sorum CPT: go0st Last U
oor
dated Date; 2022.00.
‘Sampled Date 08-09-2023 06:17:19 eae
Test Oesertion
ore
Result
Result
ort
Troponin -1, High Sensitive CPT: 84484 Last y; dated Date: 2023.09.08 og-s5.
‘Sampled Date : 08.08.2023 08:17:19, aan ett 20z2-00.08 mse
Test Description
21.0
Haemoglobin 1c, HDA te,
Rosuit
s oot
"Whole Blood CPT: 83036 Last Updated Date: 202
Updated Date: 2023-0
stsizoa0o00sze
Oost Pekan ab DaaageOe: —tmanes ioe
Deparment Cede Waraibed Cou, srrcctia
Spent.” DAMN NATIONAL HEALTH INSURANCE
ssolute Neutrophil Count 210997.
fbechie Wren 10°91
Absolute Monocyt x10°9/L_
Absclute Eosinophil Count 10%
Samed Date OF ona ae
Slo ures Strum CPT: 3820 LatUpsted Ot: 2300.08 othr g
Samstag ite oF cones age
Font Beasrpe eayt Unis
Boat one hrs mmo
Sretinng, Serum CPT: £256 Lax Updated Dae: 2029.09.08 omg?
Samlog Bate oF soso a
Units
gin
9-08 08:55:21.0
Units
mmol,
mmoul.
mmol.
Units,
git.
Units
UnitsDischarge Summary
Name: MR. IRFAN AZIZ KHAN AZIZUDDIN AHMED KHAN MR No
‘uas300000063265
AgelSex 59M Visi iD ‘a13123090000526
Weight 84 Admission Date: 07-09-2023 1727
Doctor: Dr. Kamal Ai Abdi Discharge Date 10.00-2023 18:00
Department. Cardiology WardiBed: cou, sFiccu2
Sponsor. DAMAN NATIONAL HEALTH INSURANCE
COMPANY.
vasso0n00063265
‘Sampled Date : 08-08-2023 06:17:18
Test Description Result Units
Haemoglobin Atc, HAC, Whole Blood 39 %
‘Troponin -1, High Sensitive CPT: 84484 Last Updated Date: 2023-09-09 09:16:50.0
Sampled Date : 08.08.2023 06:01:44
Test Description Result Units
Troponin «High sensitive, Serum oot imi.
Xr Chest 1 View
Performed Date: 07-09-2023 19:35:45
Ghest xray (PA } view
Indication: Cental enest pain for § days. refered from NMC Specialy
Comparison: None
Findings:
‘The lungs are clear. There is no mass, consoldation cr atelectasis
The trachea and main bronchi show no fing defect.
The hila are normal in postion, symmetric in size and density.
The heart fs normal in size and outing
‘The mediastinal one s normal
“The lateral costophenic angles are sharply demarcate.
‘There is no preumothorax
‘The included bones show no destructive lesion
‘The included soft tissues show no radiopaque foreign body or emphysema
Impression
«There is no pulmonary consolidation, lobar aelectasis or mass,
"Rete is no pleural efusen or pneumothorax
Disclaimer
Please noto, This ror has been generated using specch recogniton sofware and may contin errors related to that
System software including artorsn grammar, punctuation. spelings
well 3s words and phrase:
appropriate If there are any questions arconcems please fee es t2
Fungal Culture Definitive kentifieation
‘Sampled Date : 08-0Discharge Summary
Name: MR. IRFAN AZIZ KHAN AZIZUDDIN AHMED KHAN MR No ‘uasso0o00063265
AgeiSex 59M Visit 0: .a13123080000526
ae a Admission Date: 07-09-2028 17:27
nO Kamal Rt Discharge Date: 10.09.2023 18:00,
Department: Carsiclogy WardiBed cu, SFiccu2
‘Sponsor DAMAN NATIONAL HEALTH INSURANCE
COMPANY
LVASson000063368
atredeegy Seer Cron Agr
Investigation History:
S.Hospital Course
‘Summary of Treatment
Patient was admitted and had all necessary investigations and workups dane
‘Troponin - |, High sensitve - 0.01
HDL Cholesterol 0.71
1108.00 m
High sensitive Troponin «| repeated and shows 0.01
Chest x-ray showed no pulmonary consolidation, lobar atelectasis or mass, There is no pleural efusion or
Pheumothorax
ECHO showed goed If ventricular function race mitral and ricuspid regurigation
Patents stable, no complaints. no ches pain at rest, no shortness of breath, vitals and exam normal
Electocardiogram showed normal sinus rythm, no significant dynamic changes.
Patient is insisting to go home, al rsks and possible complications explained. LAMA signed
Further management and secondary prevention, sdherence to medication, especially antiplatelets, discussed wih the
patient in deta, dscharge home and folow up in carcology OPD an 16-09-2023 at 08 30H
Procedura/ Operation:
Medications: TRIMETAZIDINE 35 MG MODIFIED RELEASE TAB!
RELEASE TABLETS, TRIMETAZIDINE 35 MG MODIFIED RELEASE
NG FILM COATED TABLETS, ROSUVASTATIN AS CALCIUM 10 MG FILM COATE
[AS CALCIUM 10 MG FILM COATED TABLETS, ISOSORBIDE MONONITRATE
MONONITRATE 20 MG TABLETS, ISOSORBIDE MONONITRATE 20 MG TABLE
40 MG ENTERIC COATED TABLETS, PANTOPRAZOLE AS SODIUM 40 MG ENTERIC COATE A
PANTOPRAZOLE AS SODIUM 40 MG ENTERIC COATED TABLETS, BISOPROLOL 2.5 MG FILM COATED
FRBLETS. SISCPROLOL 2.5 MG FILM COATED TABLETS, SISOPROLOL 2.5 MG FiLM COATED TABLETS,
MG TABLETS, ISOSORBIDE
PANTOPRAZOLE AS SODIUM
——_—_________=llDischarge Summary
Name: MR.IRFAN AZIZ KHAN AZIZUDDIN AHMED KHAN MR No: ‘uasao0000063265
fgvsexSOvN Mt prszatecooses
weg at Kamion ate: 070820201727
Decor Br Kanal Aba Decry Dal Ocb-2023 1800
Departmen Corday ard: ou. sree
Sony Balan: NATIONAL HEALTH INSURANCE
Conan
TIGAGRELOR 30 NG TABLETS, TICAGRELOR 60 NIG TABLETS, TICAGRELOR 90 MG TABLETS, ASPIRIN 100,
NG ENTERIC COATED TABLETS, ASPIRIN 100 MG ENTERIC COATED TABLETS, ASPIRIN 100 MG ENTERIC
COATED TABLETS, PARACETAMOL 100ML, TICAGRELOR 90 MG TABLETS,
Response to teatment:
‘Complication’ Adverse reaction (if any):
6 Condition on Discharge
7.Vitals Signs
Vitals
Captured Date and Time: User: Vital Parameters: Vital Values
09-08.2023 20.00 aM 2774
(09-09-2028 20.08 Systolic BP 121
03.09.2023 20:09 Diastolic BP 74
03.09-2023 20:09 Weight a4
08-09-2023 20.08 Height 174
09-09-2028 20:09 18
(08-09-2023 20:08 68
08-09-2023 20:09 363
08.09.2023 20:09 99
ns of. ort
Services:
Service Name: CPT Code: Remarks:
Doctor prescriptions:
Prescribing
Beeserb IG type Name DosageFrequancy Route Start
Or. DEXKETOPROFEN 25
Mohamed NGIML SOLUTION FOR
‘Shakaib— MecicineINJECTION/SOLUTION 1 nj Once wv 07-09-2023 07-0
Ahmed FOR INJECTIONS 1906
Nayaz
or.
Mchamed
End Remarks
2023 yy estan)Discharge Summary
Name: MR. IRFAN AZIZ KHAN AZIZUDDIN AHMED KHAN MR No ‘uasso0000063265
Ago’Sex 59 Yin Vist 1 ‘1312398000056
Weight: a4 ‘Admission Date 07-09-2023 17:27
Doctor Dr. Kamal Al Abd Discharge Date: 10-09-2023 18:00
Department Cardiology
WaresBeus
cou, sFiccu2
‘Sponsor: DAMAN - NATIONAL HEALTH INSURANCE
COMPA
STG Hieione FOR NFUSONFOWDER TH Oise yO
FOR INFUSION ING 1308 1908
ASPIRIN 1004S
Moamed exrentc conreo i Nasa sieseeo
Stoke MadcneTABLETSENTERIC 1 Ome ona 07 08202807-09:2025300 mg
Anned Conte TasLersi100
nyas wie
. PanroPRAzoLe AS
Testa CON oe ENTERIC Se tate 07-09-2029 10-09-2023
Endele Medion COATED, Tablet Moming}{i0;001°°A+ 22:00" 10:00
ce TABLETSIENTERIC Moming}{ 10:0
— COATED TABLETS/40MG_
oy, Atred :
ora TICAGRELOR 901M iad
Sy MedcneTABLETSTASLETSO 24 Once ORAL 222920291 mai
Shae Be bit os
bane
Dr Mua :
THCAGRELOR 90 MG ;
teakeen FOREMG, 1 s-leaty) aa 08002025 11.002009
‘Abdaigadeer Medione TABLETSITABLETS/SO Tablet (08:00.20:00] ORAL 15:29 ag.00 |
Ahmed =
Or. Mustat ASPIRIN AON NG |
rronuagl ENTERIC COATEL 1-0-(Earty 4
SeietaModkreTARETSENTERC Tia, tmnng” ona 290202091082023
panel COATED TABLETS/100 {08:00}
fie Soy
Dr sunita ——-ROSUVaSTaTINAS
lzaeen gggng ALON TOMGFLM 1 O.4Eaty 2028 11.08.2003
Abialedeer SS OsTeD TARLETSILM Toblt_ Nghe 3] teoe
mes COATED TABLETS 10M
TRIMETAZIOINE 36
Mustafa
rt
Uae Medcne REARS 1 OANemy) pq, Oa0200811.082003
Aidanadee atone TAELETEMODEIED, Taye fpf) ORAL 92029 1.05
Ne
Dr Musta ——_{SOSOREIDE
13007 sedge MONONTRATE20MG 2 1.0-eany os-08.2008 11.09.2003
Abdalqadeer™ ‘ABLETS/TABLETS/20 #:00,20:00) ORAL 16.
Drusate ——ISOPROLOL 25 uc
ZzaldeeN acicing FLM COATED 1. $eOEety
Absaigadeer™*2°*TASLETSLM COATED Tabi MENG
Ahmed TABLETS/2.5 MG 08:00}
. ISosonsioe
Feataaet MONONTTRATE20MG 1 s.1/eany)Discharge Summary
Name: MR.IRFAN AZIZ KHAN AZIZUDDIN AHMED KHAN MR No ‘uasz00000083265
AgelSex 59m Vist 0: «a19123090000526
Weight) 84 ‘Admission Dato (07-09-2023 17:27
Doctor Or. Kamal Al Abd Discharge Date: 430.09-2028 18:00
Department Cardiology Warde! ecu, SFICCU 2
‘Sponsor’ DAMAN - NATIONAL HEALTH INSURANCE
COMPANY
LUassunon0063265
Trae MaUaneTABLETSTABLETSO Tabet [OHDOT ORALTO= 2000
Erote te
E PARACETAMOL 10
Oe ie tana SOLUTION FOR
Muhamed NedcmeMFUSIONSOLUTION inj Once «WW 10992029 umeta) or neadach
coe FOR INFUSIONAO
wen
DISCHARGE PLAN
2, Discharge Medication:
a eee eam ecco are Special TBiscont]
[mine nine [orm celRmafoe Poa [marion lO [Sua
Ferormcnen REE foNG fone pNCEONTIOOA [ET Ta 7 f°
tere or Soe
en ee ea Fhe
sree Sette fseisre Fesoona
TES pone as — BOTS oR ape
= at come
earns, Fane Fritz fronDischarge Summary
a ae fae hasooea
ee coerce noel
Sire | cee hare fetes
Gretab Madore TABLETSENTERIC, 14.4, once ona. 27 02 20237-00-20209009
Tesoiet SOORMAOMGENTERIC, scot o7.05-20281009-2008
Endale Medicine COATED Tablet Morning)[10:00}°RAL 29:09 10:00
Ibrahim ua
‘Abdalgadoer Mesicine TABLETS/TABLETSICO Tablet (08:0020:00} ORAL 1629 aai0g
tzralcoen ENTERIC COATED, ToS egy 02-09-2028 11-09-2028
CSTE gy ane Mme
ro &
Reusit® MOOD RELEASE edie ideas
a
lezaldeen — yeciing FILM COATED 1 ee
Abdaieadeer LM COATED Tablet MermingDischarge Summary
Name: MR. IRFAN AZIZ KHAN AZIZUDDIN AHMED KHAN MR No: ‘uass00000065265
AgelSex 59VIMt visit iD ‘A13123090000526
Weight: 84 Aamission Date: 07-09-2023 17:27
Doctor: Dr. Kamal Al Aba Discharge Date: 10-09-2023 18:00
Department: Carciology WerdiBed: cu, SFICCU 2
‘Sponsor, DAMAN- NATIONAL HEALTH INSURANCE
COMPANY
Uassonoo0n6s265
WONONTARTE INS ISOFORA
[racters louzarion
lor? Daye
PatientiFamily Edueation
Education Goals
Subject Details Accomplished
eel puieNse angine pectors, postive treadmill test, abnormal ECG,
aaa hypertipicemia, gastroesophageal refux disease
esta At Hone Explained regarng use of madeaton and heathy
Medical Equipment
Medication / Diet Interaction _-«ExPlaIned regarding use of medication and heathy
ltestye
Bae Explained regarding use of medication and healthy
Bae eat estye
NUTRITION /DISCHARGE Healthy lifestyle
DAILY ACTIVITIES Normal
Restrictions Explained
Exercise Normal
PROGNOSIS Good,
Appointment Date 15-08-2023 at 08:30
Appointment Doctor Dr. Kamal Al Ab
Tests required before next
‘consultation
‘Special instructions if any) FPN 908 0° to come tothe hospital immediately in case
Of any emergency or if symploms worsen
Instructions given by DR, KAMAL AL ABD!
Signature
Doctor's Seal
Date: 10.00.2023 21:10:51
In case of emergency please contact: 02633
above instructions,Discharge Summary
Name: MR.IRFAN AZIZ KHAN AZIZUDDIN AHMED KHAN MR No: 'uass00000063265
AgelSex 59MM Visit 10: ‘813123090000526
Weight 84 ‘Admission Date: (07-09-2028 17:27
Doctor: Or. Kamal Al Abd Discharge Date: 10-09-2023 18:00
Deparment: Cardiology WardiBed ecu, sFiccu2
Sponsor: DAMAN- NATIONAL HEALTH INSURANCE
COMPANY
(vas20000006;
Patient Nex of Kin Name
Signature Date; 10-09-2023 Time: 21:10:51
Follow Up Details
15.09.2023 Dr. Kamal Al Abdi 08:30