Question

80 year old male. admitted 2 weeks ago with chest pain, despite colleagues best efforts, he died.
He had 6 months history of angina, treated with GTN 2-3 times per week. he had excersize tolerance of 100 yards but was getting worse. he was also an ex-smoker-stopped 10 years ago-he did not drink, no other significant medical history. other drugs taken were aspirin, GTN, Allopurinol and Diltiazem.
on examination, heart rate = 8p bpm, blood pressure 120/60 mmHg, normal heart sounds.
a few bilateral reputations in long fields.
No abdominal masses
an ECG was taken upon initial admission.
He developed bradycardia, reduced respiratory rate, then went into asystole
resuscitation was unfortunately unsuccessful.
what was the patients cause of death?
what were his signs and symptoms?

Answer 1

1. The patients cause of death was myocardial infarction.

2. His signs and symptoms are as follows: chest pain, 6 months history of angina, exercise intolerance, bradycardia, reduced repiratory rate and asystole.