A 69-year-old female with a history of coronary disease status post prior myocardial infarction and surgery in 2002 presented to R.healt Medical Center Emergency Department on 10/9/05 with three days of chest pain and shortness of breath. Of note, she had been noncompliant with prior regimens and treatments and despite diuretics started three days by her primary care physician she reported new shortness of breath and chest pain at rest. An EKG in the emergency department revealed widespread ST depressions, prompting treatment for pulmonary edema with IV nitroglycerin, Lasix, aspirin, heparin, beta-blockers, and urgent transfer to the cath lab where coronary angiography revealed a left main coronary artery thrombosis with proximal and distal stenoses of about 70%, 50% of her LAD, and 60% of her first diagonal. After placement of an intraaortic balloon pump for further management and evaluation, the patient was transferred to the coronary care unit and her home medications included Aspirin, hydralazine, nitroglycerin, quinine, Norvasc, Lasix, Toprol, lisinopril, albuterol, and famotidine. Despite treatment, her condition continued to deteriorate, necessitating an exploratory laparotomy and emergent intubation, and ultimately, the family decided to withdraw care on 11/12/05 at 2:20 a.m., leading to her death at 2:24 a.m. the same day.
has the patient had aspirin
aspirin, heparin, beta-blockers,