A (b)(6) female admitted to (b)(6) on (b)(6) 2015 with cad with acute chronic systolic heart failure.Referring cardiologist dr.(b)(6).Pt with dyspnea on exertion and le edema.Pmh: chf, treated with iv lasix, dysonea, hypoxia, hypotension managed with pressors and isotropes.Pt referred to (b)(6) for mvr for severe mr.Pt underwent various procedures including ultrasound guided thoracentesis, mvr, picc lines, placement of central venous access and placement of arterial line, shiley cath for dialysis and on (b)(6) 2015, a cad was places for cardiogenic shock inserted by (b)(6), md.Medical record supports various discussions with pt's family for withdrawal of care.On (b)(6) 2015, it was reported that on repositioning of pt the pt's device became dislodged from the centrimag, resulting in bleeding.Pt coded and expired.
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