Sixty-three year old gentleman with non-insulin requiring diabetes mellitus referred

Clinical History 123

Sixty-three year old gentleman with non-insulin requiring diabetes mellitus referred to the cardiac arrhythmia clinic for consideration of permanent pacemaker placement. He recently was diagnosed with endocarditis related to a prior pacemaker which necessitated lead extraction. His medications included vancomycin and ceftazidime.
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Sixty-four year old gentleman who presented to an outside emergency room

Clinical History 120

Sixty-four year old gentleman who presented to an outside emergency room with an acute onset chest discomfort syndrome accepted in urgent hospital transfer for cardiac catheterization. The patient received immediate thrombolytic therapy. A cardiac catheterization demonstrated a 100% distal occlusion of a saphenous vein graft to the right coronary artery which was successfully angioplastied.
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