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 www.drsarma.in
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
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
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
Follow up examination Clinical symptoms Weight Lipidemia Homocysteine Life style changes www.drsarma.in
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
All his confidence is restored Now he is a happy man And a healthy young man All his confidence is restored www.drsarma.in