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Case presentation

Case presentation . Anaesthesia for patient with coronary artery disease for non cardiac surgery Moderator – Dr V imi R ewari. www.anaesthesia.co.in anaesthesia.co.in@gmail.com. Mr G urbachan Singh 65yr male Punjab Retired govt employee. Investigations :. Hemogram – Hb 14gm%

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Case presentation

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  1. Case presentation Anaesthesia for patient with coronary artery disease for non cardiac surgery Moderator – Dr VimiRewari www.anaesthesia.co.in anaesthesia.co.in@gmail.com

  2. MrGurbachan Singh • 65yr male • Punjab • Retired govt employee

  3. Investigations : • Hemogram – • Hb 14gm% • TLC 5400/mm3 • Plt 1.7 lakh/mm3 • SGOT /SGPT 28/26 • Bil 0.8 • Alk phosphate 379

  4. Total protein 7.5gm% • Alb 4.6gm% • Globulin 2.9gm% • Urea / creatinine 33/1.1mg /dl • FBS 155gm% • ECG sinus bradycardia 50/min ,T wawe inversion in lead ii ,iii ,avF • CXR normal lung parenchyma , no cadiomegaly

  5. MUGA scan - mildly dilated LV cavity with septal apical hypokinesia , EF 45% • USG – multiple echogenic calculi , cystic mass 5.4×6 cm S/O pseudo pancreatic cyst , CBD 2-3mm ,no calculi seen • Stress thallium – • Post stress – large hypoperfused area in mid and proximal inferior wall.rest of left ventricular myocardium shows normal perfusion

  6. Redistribution image : no improvement in perfusion deficit • Imp : scarred myocardium in mid and proximal inferior wall www.anaesthesia.co.in anaesthesia.co.in@gmail.com

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