Past Medical History
Past history includes coronary artery disease (CAD), hypertension,
dyslipidemia, diabetes mellitus, right below the knee amputation (BKA),
end-stage renal disease (ESRD) on hemodialysis. A prior transthoracic
echocardiogram (TTE) showed eccentric left ventricular hypertrophy with
calculated ejection fraction between 35 to 40%, global hypokinesis,
mild right atrial enlargement, normal-appearing tricuspid and pulmonic
valves with mild to moderate tricuspid and pulmonic regurgitation. She
was recently diagnosed with Invasive Ductal Carcinoma. She underwent
mastectomy which was complicated by hematoma and she was discharged on
wound vacuum assisted closure (VAC) due to persistent high output
seroma. The VAC remains in-situ at the time of admission.