Referral Details

Triage Considerations
Requested Priority: Routine

Service(s) Requested
• Cardiac Testing
    • Exam(s) Requested:
• Echocardiogram - Resting
• Echocardiogram (2D)
• Stress Testing
• ECG - Exercise Stress Test

Concern(s) / Indication(s) Triggering Referral
• Chest Pain or Angina

Brief Description of Referral, History, Management, and Investigations:
58M, exertional chest tightness x 6 weeks, resolves with rest. BP poorly controlled on ramipril 10mg + amlodipine 5mg. Father MI age 62. Please assess for ischemia and optimize CV risk.

Cumulative Patient Profile

Current Problem List: Hypertension (diagnosed 2019) Exertional chest tightness (onset Jan 2026) Hyperlipidemia Obesity (BMI 29)
Past Medical History: Appendectomy (1992) Right knee meniscus repair (2011) No prior cardiac history No diabetes
Current Medications: Ramipril 10 mg PO daily Amlodipine 5 mg PO daily Rosuvastatin 20 mg PO daily ASA 81 mg PO daily
Family History: Father: MI at age 62, deceased age 71 (stroke) Mother: Type 2 diabetes, hypertension, alive age 82 Brother: Hypertension, age 55
Allergies: Sulfa (rash) NKDA otherwise