Mr. Sasi Pillai · Journey
AKI rising62M · CICU bed 12 · MRN AST-2026-04-0998 · Day 2 post-PCI · admitted Tue 09 Apr 13:42
Summary
Journey
Body
All · 24
Admission · 1
Labs · 9
Imaging · 4
Procedures · 1
Meds · 6
Alerts · 2
Notes · 1
Today · Sat 11 Apr 2026
06:50
Lab
Renal panel — Cr 1.4 ng/mL ↑
New
Was 0.9 yesterday AM · +0.5 mg/dL in 24h = KDIGO stage 1 AKI · eGFR 42 (was 60)
↑
📎 Full panel
06:52
Alert
Drug-safety flag — metformin + ramipril in evolving AKI
New
Auto-raised by medication-safety pipeline · eGFR < 45 cut-off for metformin · ACE-i in evolving AKI ·
recommends 24h hold
06:50
Lab
Troponin T — 1.4 ng/mL ↓
New
Down-trending (was 8.4 at +6h, 2.8 on admission) · expected post-PCI clearance
↓
07:05
Imaging
Bedside renal US — no obstruction
Both kidneys normal size (~10 cm), no hydronephrosis, no perirenal collection · supports parenchymal AKI not obstructive
📎 Report + 4 images
Yesterday · Fri 10 Apr 2026
19:30
Note
Shift handover — Dr. Anand
"Stable post-PCI day 1. Pain controlled. UO 60-80 mL/h. Continue current regimen. Repeat U&E in AM."
14:00
Lab
CBC · BMP · Troponin (12h)
Hb 11.4 · WBC 12.8 · Cr 0.9 (baseline) · Trop 2.6 (from 8.4 peak)
📎 Full panel
10:00
Imaging
Echo TTE — EF 38%
Anterior wall hypokinesia (LAD territory) · mild LV dysfunction · no MR/AR · no pericardial effusion
📎 Report
🎬 Clip · open in PACS
08:00
Med
Oral regimen started
Aspirin 75 OD · Ticagrelor 90 BD · Atorvastatin 80 OD · Bisoprolol 2.5 OD ·
Ramipril 5 OD · Metformin 1g BD
Tue 09 Apr 2026 · Day 0
16:00
Imaging
Post-procedure CXR portable
Mild pulmonary congestion · no pneumothorax · stent wires in situ · CVL tip at SVC-RA junction
📎 Report
🖼 1 image · open in PACS
14:20
Procedure
Primary PCI — LAD DES 3.0 × 28 mm
Door-to-balloon 55 min · Operator: Dr. R. Menon · Radial access · Contrast 145 mL Omnipaque ·
TIMI 3 flow restored · no complications
📎 Cath report
14:00
Lab
Troponin T — 2.8 ng/mL ↑↑
Critical high (normal <0.04) · consistent with acute MI
📎 Full panel
13:50
Imaging
ECG 12-lead — ST elevation V1-V4
Acute anterior STEMI · LAD culprit · cath lab activated
📎 ECG strip
13:42
Admission
ED → CICU · chest pain 2h, central, radiating to L arm
BP 138/84 · HR 92 SR · SpO₂ 95% RA · T2DM 15y on metformin + ramipril · smoker 30 pack-years · PMH HTN, dyslipidaemia