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Indication:
Bridge to Transplant Destination Therapy Post Cardiotomy
Myocardial Recovery Other Please describe: _________________________
Other Remarks:
Pacemaker/CRT-P/CRT-D/AICD Implant: Prosthetic Heart Valve Implant:
VVIR MRI ICD
Date of Implant: 05/12/2009 Date of Implant:
Nutritional
Pre-albumin >15 mg/dl
Albumin >3 g/dl 2.4
Transferrin >250 mg/dl
Hepatic
Total bilirubin <2.5 mg/dl 2.85
ALT, AST <2 times normal YES
Hemodynamic
Right atrial pressure <15 mmHg
PCWP <24 mmHg
ABP 120/70mmHg
Current Condition: On venitlator since 21/09/2017 & On ECMO Since 22/09/2017
Admitted/Non admitted: Yes
If yes since when: 16/09/2017
On ventilator: Yes
If yes Since when: since 21/09/2017
Inotropic support: Yes
Pl specify: Drugs & Dosages: Noraderiline 0.02mcg/kg/min
On IABP: NO
If yes Since when: N/A
NYHA Class: Class II
Suffering from Intractable ventricular arrhythmia since 1week
Current LVEF %: 16% On ECMO
X- ray: Cardiomegaly , grade 1 pulmonary venous hypertension
Pulmonary Function: on FiO2 of 60% PO2 = 92 and PCO2 = 35
PFT: can not be done as patient is on ventilator
Coronary Angiogram: LAD- TIMI 1 Flow with ISR OF 70-80%, LCX- Codominant circulation with minor
plaque present, RCA-
Hb: 8.1
TC: 8,100
ESR:
Temp: 34.5C
Infection if any: No evidence
Recent history of illness: VT storm since 1 week, on ventilator, on ECMO
Past history of any surgery: PTCA, ICD (2009), CARTO (2011)
Any other disease: Non diabetic, Non hypertensive, k/c/o CAD