Mr. [**Name13 (STitle) 5827**] is an 80yo M with dementia, CAD s/p CABG in [**3420**] (LIMA-LAD,
SVG to OM2, SVG to RPDA), then s/p CABG redo in [**3426**], then s/p 2 caths
this year with patent LIMA, totally occluded SVG to RPDA, SVG to OM2,
s/p BMS to LCX on [**1-26**] who presented to [**Hospital3 53**] Hospital
with increasing chest pain and nausea over the past few days.
.
Per report, patient has presented several times since last cathed for
recurrent angina. Admitted to [**Hospital3 **] on [**3436-4-2**] with recurrent chest pain. Ruled out for MI. Last episode of chest pressure was the morning of transfer, associated with dry heaves and belching relieved with
morphine. Pt was continued on ASA, Plavix, Statin, BBker, Imdur and
placed on Heparin gtt. Cath last [**Month (only) **] here at [**Hospital1 5**] showed a patent BMS in LCX and no new lesions. According to the
family he usually has angina once every day or two, but for the past 2
weeks he has been having angina with any minimal exertion (eg putting
on his shirt), and waking him several times per night.