2.CVS # Hypertension หลังadmit Pt. Uncontrol HT , CXR Cardiomegaly ,EKG :low voltage in limb leads , Cardio echo :
(13/1/65) Mx -Primacor 25 mg +NSS 100 ml iv 3 ml/hr (0.3 mcg/kg/hr) keep MAP>65 mmHg , BP< 140/90 - Mildly LV systolic function (Mod4C EF 50%), LV strain = -13.6%, anterior and anteroseptal bypokinesia of LV wall remarked - Normal LV diastolic function - No VHD - No chamber enlargement - No pericardial and pleural effusion ProBNP: 34693 TropT: 41.3 ESR(10/1/65) 83 ProBNP (31/1/65) 5513 ,hs Trop I :200 ,hs Trop T 99.9 Cardio plan:- F/U cardiac enzyme - MRI heart when stable --> Off คิ้ว 31/1/65 due to Pt. unstable