1 / 15

EACH PATIENT - AN OPEN BOOK Interesting Clinical Cases

EACH PATIENT - AN OPEN BOOK Interesting Clinical Cases. Dr. R.V.S.N.Sarma., M.D., M.Sc., (Canada) 5 Jayanagar, Tiruvallur 602 001 Mobile 93805 21221 Visit us at : www.drsarma.in. Clinical Problem. Young Engineer in LANCER Car factory Sudden H/o of Angina – incomplete relief

kevyn-knox
Download Presentation

EACH PATIENT - AN OPEN BOOK Interesting Clinical Cases

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. EACH PATIENT - AN OPEN BOOKInteresting Clinical Cases Dr. R.V.S.N.Sarma., M.D., M.Sc., (Canada) 5 Jayanagar, Tiruvallur 602 001 Mobile 93805 21221 Visit us at : www.drsarma.in www.drsarma.in

  2. Clinical Problem • Young Engineer in LANCER Car factory • Sudden H/o of Angina – incomplete relief • Can be easily ignored • What was wrong ? • How he was investigated ? • What was the outcome ? www.drsarma.in

  3. Clinical Issues identified • ECG changes not classical of MI or IHD • Pain is very typical of effort angina • Risk factors ++,↑↑ LDL, TC, tHCy, Obesity • Disposed of as ordinary angina elsewhere • We submitted him for Coronary Angiograph • How are his coronaries ? • What are the treatment options ? www.drsarma.in

  4. Treatment options • Medical management • PTCA + Stenting • CABG • Which is the right choice ? • Why ? • Web sites were provided to him • He took an informed decision www.drsarma.in

  5. Follow up examination • Clinical symptoms • Weight • Lipidemia • Homocysteine • Life style changes www.drsarma.in

  6. Present Status • Now he is 59.5 Kg from 73 Kg • No symptoms of IHD what so ever • Continuing on • Atorvastatin 10 mg • Folic Acid 5 mg • Omega 3 fatty acids • Cobalamine + Pyridoxine and • Of course life style adaptations www.drsarma.in

  7. Now he is a happy man And a healthy young man All his confidence is restored www.drsarma.in

More Related