Mr. J is a 74yoa male with known CAD and a recent diagnosis…
Mr. J is a 74yoa male with known CAD and a recent diagnosis of heart failure. 3 years ago the patient had a large MI and refused to attend cardiac rehab afterwards. He has had 3 hospital admissions in the past year related to pulmonary edema. Left ventricular ejection fraction was measured 3 months ago at 23%. He also has osteoarthritis in both knees and type II diabetes. He lives alone on a ground floor of an assisted living facility. He prefers to stay at home, but when he does leave the house and can only walk 2 city blocks without resting. An EKG from his emergency room visit related to the MI is shown below. Mr. J meet criteria for a cardiac rehab referral.