OPD7099 PROGRESS NOTE Patient Name : Smith , Wilma AGE : 94 CHIEF COMPLAINT : She is here for echocardiogram results . PROBLEM LIST 1.94 - year - old with pulmonary hypertension , most severe at 86 mmHg , now 45 mmHg on Letairis and Revatio . She remains oxygen dependent . 2. Hospitalized ( 01 / 20XX ) for anemia , transfused with 2 units of packed RBCs . 3. Hospitalized ( 01 / 20XX ) for pneumonia , pleural effusions requiring thoracentesis , and increased pulmonary hypertension . 4. Dual chamber pacemaker upgrade from VVI to DDD ( 01 / 20XX ) . 5. S / P community acquired pneumonia ( 01 / 20XX ) ; resolved with treatment . 6. Paroxysmal atrial flutter and atrial fibrillation with 2 : 1 A - V block . 7. Sick sinus syndrome , S / P single chamber VVI pacemaker ( 01 / 20XX ) . 8. History of coronary artery disease , S / P right coronary stent ( 8+ years ago ) . 9. Hypothyroidism , on replacement therapy . 10. Hypertension ; markedly labile and difficult to control secondary to left ventricular noncompliance and aortic inelasticity 11. History of gout . 12. History of osteoporosis .