Walking a flight of stairs or with increased stress

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44-year-old female who presented to the MD office yesterday complaining of recent episodes of SOB that occur with minimal activity such as walking a flight of stairs or with increased stress. Her symptoms are relieved with rest. PMH: GERD, Hyperlipidemia, Type 2 diabetes, obesity, and atrial fibrillation. She drinks 3-4 caffeinated beverages per day and denies alcohol use. She has a history of situational anxiety since her mother's death and HTN controlled with atenolol. Past surgical history: total abdominal hysterectomy 6 years ago and right carpal tunnel surgery 2 years ago. Admitted to cardiac unit and MI was ruled out with normal troponin, CPK and CK mb, and EKG (not on chart) She was sent for a cardiac catheterization lab for possible angioplasty and stent placement. She was found to have triple vessel disease, so angioplasty was canceled, and she was scheduled for CAGB tomorrow. VS: Heart Rate 132 Blood Pressure 142/92 Respirations 24 Temperature 98.2 (Oral) SpO2 (%) 93% 0.9% SODIUM CHLORIDE (NACL) 1000 mL at 100 mL/hour, Continuous, IV aspirin 325 mg , Now, Oral atorvastatin 10 mg , Now, Oral captopril 50 mg , Now, Oral digoxin 0.25 mg , Now, Oral furosemide 40 mg , Now,

Reference no: EM133731817

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