{"text":"NHS Greater Glasgow & Clyde NH \nRapid Access Chest Pain Service N oo\u2019 \nGraatar Glasgow \nard Chde \nDr. Stephen Macpherson Printed on: 24\/09\/2019 \nDrs Macpherson, Mukherjee, Tooke & \nBridgeton Health Centre \nG40 2DA \nDear Dr. Stephen Macpherson, \nRe: MR HENRY NORWOOD (CHI 0101506015). 248 Millroad Drive Glasgow Lanarkshire G40 2NS \nYour patient was seen at the Rapid Access Chest Pain Clinic on 24\/09\/2019 at The Glasgow Royal Infirmary. \nPresenting History \nThere was no presenting history details given. \nPresenting Notes No change in symptoms. Has tried GTN with no effect. \nRelevant Past Medical History \nCOPD and asthma. \nContinues to smoke - 30g\/day. \nInvestigations \nECG ETT \nHeart Rate: 91 (bpm) ETT Done. \nSinus rhythm. Protocol: Bruce. \nNormal conduction. No angina during exercise. \nNon Ischaemic. Ex. Time: 06:40. \nNegative. \nReason(s) for Stopping \nDyspnoea \nClinical Findings \nBP (mmHg) 140\/90 \nSmoking Status Current Smoker \nDiagnosis and Recomendations \nOutcome: Symptoms and test results indicate that ischaemic heart disease is unlikely \nAnti-anginals: Not required \nSecondary prevention: Not required \nRisk Factor Management: Please manage cholesterol and blood pressure in line with GGC Guidelines. Consider \nsmoking cessation, physical activity levels, alcohol consumption and weight management \nNo OP review: No Op review or further investigations required \nAdditional discharge comments: Symptoms do sound more in keeping with Respiratory disease and his ongoing \nsmoking habit. He has tried GTN with no effect. \nResting ECG is normal, BP also on the high side - 140\/90 - he will arrange to have this re checked. \nETT was reassuring , exercised for just short of his predicted time, no ST T wave changes, good HR response , stopped \ndue to breathlessness. \nYours Sincerely, \nRACP Discharge Letter: MR HENRY NORWOOD Printed by: Kate Robb on 24\/09\/2019.Page 1 of 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