Concluded Case

ANGINAL PAIN ISCHEMIC HEART DISEASE Č DM

A 52 years old IDDM female patient, complaining with severe chest pain, gripping, pain radiating from left arm to left chest, patient also denotes pain at MCL, hypertension. Chief Complaints Severe chest pain, gripping, breathlessness, History VH done before 6 years ago due to prolapse uterus. Vitals BP 170/100 mmHg Pulse 134bpm R/R 24bpm Spo2 86% Temp.97°F Physical Examination Chest B/L clear Abdo. Soft Breathlessness Xerostomia UL NAD LL NAD O/F NAD Investigations Sugar level 562mg/dl ECG shows ST segment depression and T wave inversion Echo report is submitted Awaited for other reports. Management O2 inhalation Aspirin GTN Beta blockers Corflo Insulin Further management Consult cardiologists Angioplasty Coronary artery bypass surgery

1 Like

LikeAnswersShare
Concluded answer

Diabetic with Rbsl 562 and xerostomia suggest hyperglycemia uncontrolled Hypertensive pt uncontrolled bp c/o typical ischimic pain 2decho suggesting LT CIRCUMFLEX BLOCK Adv angiography and angioplasty Rest your line of treatment may be continued Only i would like thrombolisation to be done

All Answers

Diabetic with Rbsl 562 and xerostomia suggest hyperglycemia uncontrolled Hypertensive pt uncontrolled bp c/o typical ischimic pain 2decho suggesting LT CIRCUMFLEX BLOCK Adv angiography and angioplasty Rest your line of treatment may be continued Only i would like thrombolisation to be done

Valuable opinion
0

View 3 other replies

? UNCONTROLLED DIABETES WITH.. HT.. CAD .. NEED'S.. STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH EXPERTS OPINION.. ANTIHYPERTENSIVE MANAGEMENT.. ANGIOGRAPHY AND ANGIOPLASTY.. WITH.. CARDIOLOGISTS OPINION..

In view of uncontrolled diabetes and uncontrolled hypertension it is strongly advisable to proceed for 2 D Echo and Angiograph y under senior Interventional cardiologist.

2d echo hypokinesia lcx Opinion of cardiologist Hyperglycemia check serum creatinine Ecg myocardial ischemia Angina Lipid profile Tropi&t

Advise Angiography Echo Hba1c PT is case.unconrollDM HYPERTENSION VIT A DEFICIENCY CONT DM. HT THERAPY VIT A SURGICAL INTERVENTION AS PER Cardiologist openion

I think everything is done for cardiac side, but nothing suggested treatment fo High DM.? 52 ,,so insulin. Angiography and mostly Angioplasty needed. Tsh? Rft Lft?

coronary artery disease better to go for bipass surgery or angioplasty. if patient is not ready then ayurveda treatment can be given. you can use the yog told by acharya charak in vataj hridrog chikitsa. -shring bhasma with ras sindur -brihat vatchintamani rasa -yogendra rasa. -dashmularisht -sunthi+harde before food with cold water for amapachana -shankhavati or lavanbhasker after food

Strict control of diabetes Angiography & angioplasty Consult cardiologist

Adv tight glycemic control. High intensity statins. Antiplatelets. Plan CAG early PCI

CRITICAL CASE SIR BETTER MANAGEMENT IS GIVEN BY YOU RESPECTED SIR MANAGE SUGAR LEVEL

Load more answers

Cases that would interest you