Acute Coronary Syndrome-STEMI

HTN,T2DM,ACS-Ant wall STEMI,LV Dysfunction, LVEF 24%,Mild MR,Diabetic Retinopathy with D.Nephropathy. Chief Complaints A 51 yr old female attended Emergency with chest pain and SOB since 10 days with associated Diaphoresis and 2 episodes of vomiting. She is K/C/O HTN,T2DM,Hemorrhoids. No H/O Thyroid disorder or Substance Abuse. Her General Examination and Systemic Examination was normal except for basal crepts in chest. Her old ECG shows ST elevation in ant septal leads with Q waves and reciprocal ST depression in inf-lat leads. Pt was admitted and routine Ix along with 2D ECHO and Trop I was advised. Her Trop I was 40K and 2D ECHO showing Dilated LV,Global Hypokinesia with LVEF of 24%,Mild MR,LV Dysfunction. Her Funduscopy was done showing NPDR. USG W/A showing Renal parenchymal disease. Pt was managed conservatively and being referred for Coronary Angiography and further Management.

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After Cardiologist consultation also will cosult Surgeon for any abdominal operation required.? Blood sugar sud be monitored regularly and requirement of Insulin therapy sud be judged by the attending physician.

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