Subjective:
Patient, NAME_1, reports experiencing chest pain and shortness of breath.
Patient tests positive for COVID-19 and experiences improvement after two weeks.
Patient then contracts RSV and experiences worsening symptoms.
Patient reports experiencing palpitations every once in a while, describing it as a tightness in the chest.
Patient also reports experiencing dizziness, shortness of breath, and a fast heartbeat.
Objective:
Patient describes experiencing chest pain and shortness of breath.
Patient describes a fast heartbeat that felt different from previous instances of tachycardia.
Patient reports feeling heart palpitations and like their heart was beating out of their chest.
Patient reports experiencing dizziness and shortness of breath.
Assessment:
Patient's symptoms suggest a possible cardiac event, such as a myocardial infarction (heart attack) or a panic attack.
Patient's history of tachycardia and absence of previous symptoms suggest that this episode may be a new onset of cardiac symptoms.
The patient's recent illness with COVID-19 and RSV increases the possibility of a cardiac cause, such as a pandemic-related cardiac issue.
Plan:
Recommend follow-up with a primary care provider for further evaluation and potential cardiac testing.
Discuss the importance of seeking medical attention in the event of future cardiac symptoms.
Provide resources for patient to learn more about cardiac health and preventative measures.
Order a CMP complete metabolic profile blood work, a D dimer blood test, and chec