Dear Dr Whitmore,
RE: Mrs A. Patel — DOB 14/03/1961 — identifiers withheld
Thank you for referring this 65-yr-old lady seen in clinic 04/09. C/o exertional SOB, NYHA II, no orthopnoea, no syncope. PMH: HTN, T2DM (diet-controlled).
Ix: TTE — LVEF 48%, mild MR, no RWMA. ECG SR 76bpm. Bloods: Hb 121, eGFR 62, K 4.2, NT-proBNP 418.
Imp: symptoms likely multifactorial; borderline LV systolic function. Plan: commenced bisoprolol 2.5mg OD, up-titrate per tolerance. Continue ramipril. FU 3/12 w/ repeat BNP + U&Es.
Yours sincerely,
Dr S. Oyelaran, Consultant Cardiologist
