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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

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EACH PATIENT - AN OPEN BOOK Interesting Clinical Cases

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  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

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