Male 60 compain of breathlessness with 140/90 and pulse 90 with CAG show mid Lcx 70-80 lesion n rest normal. Give give him tab concor 2.5 with cap ecosprin gold / tab angiplat 2.6 bd and budecort 200 rotacap od and tab nexpro rd. Patient till having buring in chest n throat and generalised weakness with exertional dyspnoea. Patient having a h/o of smoking since 45 yrs kindly suggest suggestion further apart from cardiac.

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Ecg s/o Ischaemic changes in Inferior leads consistent with Angio report of Lcx invol. Pls Suggest pt to Quit Smoking Strictly advice tofollow DASH diet Regarding retrosternal burning, first make sure its not due to cardiac cause... Advice PPI with Levosulpride once daily along with sucralfil Check and follow up with Hb % levels and also for stool for occult blood For time being, U can Withhold Aspirin and continue with only Clopidogrel 150mg Withhold Budecort rotacaps Avoid Nsaids if any... Still if no improvement in burning retrosternum....advice Gastroscopy Regarding exertional sob, pt must be progressing to unstable angina so advice for Resticted physical activity.... along with DASH diet

Inf wall ischemia

inferior wall ischemia

ecg lead lll and avf shows signs of inf. ischaemia as cag shows Lcx 70to80%blockage. stop smoking and adv. endoscopy mean while stop any nsaid add pan D bd

ST-T CHANGES IN L-III & AVF. KEEP HIM ON EITHER HEPARIN OR TIROFIBAN & GET READY FOR PTCA TO LCX.

Inferior wall ischaemia,get cxr UGI endoscopy to rule out Gastric ulcer,GERD

rule out gastrointestinal disorders like peptic ulcer by subjecting to endodcopy

inf Wal ischemia adv- god scope with change in habits like smoking, tobacco

Inf wall mi