Cardiology Handover — Saroj Agarwal

Prepared for: Dr. Nilesh Purushottam, Cardiologist, Surat Date: 20 July 2026 Prepared by: Family (son), from the primary hospital records listed in §10 Referral path: Dr. Talha Meeran (Consultant Cardiologist, Sir H. N. Reliance Foundation Hospital, Mumbai — her treating cardiologist through the Feb–Apr 2026 admission and afterwards) advised a local Surat review by Dr. Nilesh Purushottam.

Every clinical figure below is quoted from a source document; the file for each is named in §10. Where the records are silent or contradict each other, that is stated explicitly rather than smoothed over. Items resting on the family's account rather than a document are marked as such — see the footer.

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⬛ PAGE 1 — AT A GLANCE

Saroj Agarwal, F/63 (DOB 27-Aug-1962). Metastatic Ca endometrium, on chemo-immunotherapy, currently in partial response (PET-CT 22 Jun, −47.1 %).

The cardiac story in six lines:

1. Severe pulmonary arterial hypertension since Feb 2026, judged Group 3 (secondary to lung/pleural disease). RVSP 83 → 72 → ~46 (01 Mar nadir) → 91 (at PE) → 70 mmHg (06 Jul). Never right-heart-catheterised