Our doctors have won merits in medicine, and many a heart
Patient: Mrs. Parvathamma
A 53 year old female had hypertension for 4 years and chest pain for 1 week. Due to ECG changes, she was being treated for ischaemic heart disease for last 4 years. Coronary angiogram done showed normal coronary arteries and normal LV function and she was discharged only on antihypertensive medications and no antianginal treatment.

Patient: Mr. Basavalinge Gowda
A 74 year old male came with hypertension, COPD and past h/o Ca.Larynx. He was admitted with chest pain for 24 hrs. ECG showed acute inferior wall MI with lateral wall ischaemia. He was thrombolysed and an angiogram done after 48 hrs showed triple vessel coronary artery disease - 100% LAD occlusion and 80% lesions in large OM branch and Mid RCA. He continued to have post infarction angina and underwent successful bypass surgery after about 4 weeks. He had LIMA graft to LAD Artery and Venous graft to Diagonal, OM & RCA. He was discharged from the hospital after 6 days.

Patient: Mr. Simon Nazareth
A 53 year old male came to the hospital with chest pain and both arm pain for one and a half days. He had no risk factors like high blood pressure, diabetes mellitus or smoking.

His ECG on admission showed an evolving anteroseptal myocardial infarction with ventricular ectopic beats. Due to his late presentation, he was not thrombolysed and was treated with IV Heparin infusion for 48 hrs and two antiplatelet agents - Aspirin & Clopidogrel with other antianginal medications. He was found to have diabetes mellitus and severe dyslipidaemia and was started on insulin, rosuvastatin and gemfibrozil.

His coronary angiogram was done after 2 days which showed two vessel coronary artery disease - occluded mid LAD artery, stenosis in large second diagnol and large OM II branches. He underwent a two stage angioplasty and stent implantation of LAD, Diagonal and circumflex OM branches with intracoronary Reopro injection. Post angioplasty he made an uneventful recovery and was discharged from the hospital after 4 days.

Patient: Mr. Chandrashekar Rao
A 56 year old male came to the hospital with severe chest pain for about 15 hrs with sweating and vomiting.

His ECG on admission showed ST elevation in leads V1-V4. He had no risk factors for ischaemic heart disease. He was taken up for emergency angiogram and primary angioplasty to mid LAD artery. IV Integrilin Bolus and infusion was given during the primary angioplasty. He made a good recovery post angioplasty and was shifted out of ICU after 24 hrs.

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