Verified Support
Apr 26, 2018
Aditya Birla Memorial Hospital Customer Care's response Dear Sir,
Greetings from ABMH !
Thanks for sharing your grievances; I am forwarding my opinion in regards to the concerns raised by you.
This patient is a 65 –year-old with old history of myocardial infarction.
He had a low heart pumping(40%).
He came to the hospital with history of breathlessness & chest pain since 2-3 days.
On examination, he was breathless at rest, fatigued & tired.
Hence, he was advised admission in the Medical ICU.
1) This is centralized A/C hospital & there is no issue regards A/C functioning. He was very restless & that is the reason he might have felt uncomfortable.
2) During admission time too the patient & the family were informed that we would like to stabilize the patient & discharge him if he remains stable.
3) After admission, patients reports were done which suggested infection(WBC:18100).He also had abdominal pain for which antacids & antigas medicines were started.
a. In the night, patient had an episode of ventricular tachycardia(non-sustained)(a potentially fatal heart rhythm abnormality).
b. He was started on anti-arrhythmic medicines(amiodarone & lignocaine)
c. Settled overnight with urine output of 900cc.
4) In the morning his BP was stable but still was breathless-hence not shifted to wards.
a. In view of infection-antibiotics were also started.
b. Sonography showed gall stones.
c. I visited the patient at 11:00 AM on 27/02/2018 in the ICU.
5) By afternoon, he started feeling more breathless even on Non-invasive Ventilation-no improvement.
a. I visited the patient at 5:00 PM on 27/02/2018 & discussed with the family. They were reluctant for mechanical ventilator but there was no other choice.
6) Holter was also put in the morning to monitor heart rhythm.
7) He kept on deteriorating & expired at 1.00AM
8) His Holter showed sustained incessant VT & VF & he succumbed to this dangerous cardiac arrhythmias.
Conclusion:
• He had a sick heart (weak heart pumping)
• Old heart attack
• Infection (sepsis)
• Metabolic Acidosis
• Gall stones
• Incessant VT & VF (a potentially fatal heart rhythm abnormality)
I think as a clinician we have tried our best but patient had significant comorbidities.
Regards,
For Dr Rajesh Badani
Senior Consultant -Cardiology
Grievance Cell
Aditya Birla Memorial Hospital
Chinchwad, Pune-411033
corporate.[protected]@adityabirla.com
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