Urgent Cardiology Review & Possible Immediate Admission – S. Sajatha Mary (NSTEMI with ADHF)
Dear Cardiology Team,Hospital Pantai Kuala LumpurWe would like to refer the following patient for urgent cardiology review and possible immediate admission:Name: S. Sajatha Mary A/P SilvesterIC: 75032108 5766Age/Sex: 51-year-old Indian femaleShe was recently managed in ED, Hospital Kuala Lumpur for acute decompensated heart failure secondary to NSTEMI.BackgroundUnderlying medical conditions:Diabetes MellitusHypertensionDyslipidemiaIschemic Heart Disease with 2-vessel diseasePresenting ComplaintsShortness of breath × 1 monthChest discomfort with pleuritic chest pain × 1 week (relieved with 1 dose S/L GTN)Bilateral lower limb swelling × 1 yearReduced effort tolerance × 5 monthsED FindingsVitals:BP 125/75 mmHgHR 89 bpmRR 20–22SpO₂ 98% on room airTreatment given:Aspirin 150 mg statClopidogrel 300 mg statS/C Fondaparinux 2.5 mg statIV Lasix 20 mg statECG:ST depression in lead III, aVF, V3–V6Blood Investigations:Hb 12.3 / WBC 13.1 / Platelet 311Na 137 / K 3.7 / Urea 3.8 / Creatinine 88Troponin T: 541The patient is currently hemodynamically stable but remains high risk given elevated troponin, ECG changes, known 2-vessel disease, and recent acute decompensated heart failure.And the patient has insurance under PMK cover, inpatient only.Can the Patient admitted directly?

Answer:

Dear Sir/Madam,

We extend our sincere gratitude for choosing Pantai Hospital Malaysia for your healthcare requirements.

Kindly be informed that admission to the hospital is determined by the attending cardiologist following a clinical consultation and assessment of the patient. Based on the evaluation, the doctor will decide whether immediate admission is required.

We therefore recommend arranging a consultation appointment with one of our cardiologists at the earliest convenience for further evaluation and appropriate management.


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Last Edited: 17 May 2026
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