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Shaw LJ, Bugiardini R, Merz CN. Women and ischemic heart disease: evolving knowledge. J Am Coll Cardiol. 2009 Oct 20; 54(17): 1561-75.

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Article

Identification of a Progressively Worsening Cardiac Condition in a Patient Seen in a Home Health Care Environment

1Daemen College, Amherst, NY

2Deaconess Home Care, Laurel, MS

3University of Scranton, Scranton, PA

4San Antonio Uniformed Health Educational Consortium, San Antonio, TX


American Journal of Medical Case Reports. 2016, Vol. 4 No. 8, 296-297
DOI: 10.12691/ajmcr-4-8-10
Copyright © 2016 Science and Education Publishing

Cite this paper:
Michael D. Ross, John M. Cheeks, John P. Sanko, Michael A. Tall. Identification of a Progressively Worsening Cardiac Condition in a Patient Seen in a Home Health Care Environment. American Journal of Medical Case Reports. 2016; 4(8):296-297. doi: 10.12691/ajmcr-4-8-10.

Correspondence to: Michael  D. Ross, Daemen College, Amherst, NY. Email: mross@daemen.edu

Abstract

The patient was a 53 year-old woman who was seen by a home health physical therapist following a lumbar spinal fusion revision surgery which was performed 2 weeks prior. In addition to low back pain, the patient had chronic bilateral shoulder, left upper extremity, chest, mid-back, and lower extremity pain and required moderate assistance for transfers, ambulation and activities of daily living with routine complaints of shortness of breath, lightheadedness, and fatigue. Due to concern over a progressively worsening cardiac condition, the physical therapist immediately consulted a cardiologist, who agreed to see the patient the next day. The patient was subsequently diagnosed with severe coronary artery disease and was treated with coronary artery bypass grafting, after which she was independent with all activities of daily living with only minimal complaints of low back pain.

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