Coronary Heart Disease

Case scenarios

Mr Smith

55yr old Lorry Driver 3-4 weeks history of chest pains,

unrelated to exertion except when lifting heavy objects. Anxious re heart

What do you do next?

Mr Smith

History:

Smokes 20/day No exercise Family history of IHD

Mr Smith

Obese BMI 32 BP 182/101 CVS otherwise normal

What tests do you do now?

Mr Smith - Investigations

Bloods: FBC U+Es LFTs Fasting lipids Fasting sugar ECG Follow up?

Mr Smith 6 months later

Phones you with chest pain, central and crushing lasting 20 minutes so far

Describe your immediate actions

Mr Smith – post MI

How will you follow up Mr Smith?

What issues will need to be addressed?