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ACUTE IWMI ( STK + 14/08/2022) NORMAL LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE(15/08/22) RESCUE WITH STENTING TO DISTAL RCA & PTCA MID LAD(15/08/22)

Patient was admitted with the complaints of chest pain retrosternal radiates to left upper limb and lower jaw on set 2 AM intermittent continuous pain from 1 PM .cag was done which shows double vessel disease.Hence PTCA WITH STENTING TO DISTAL RCA & PTCA MID LAD. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain retrosternal radiates to left upper limb and lower jaw on set 2 AM intermittent continuous pain from 1 PM .

URINARY TRACT INFECTION RECENT ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG-LMCA+TRIPLE VESSEL DISEASE (05/01/2019) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness acute onset. He is a known case of hypertension and diabetes mellitus. on evaluation patient found to have UTI. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathlessness acute onset. He is a known case of hypertension and diabetes mellitus.

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- LM+ TRIPLE VESSEL DISEASE (22/12/2023) PLAN : CABG

Patient was admitted with the complaints of chest pain. CAG was done which shows LM+ Triple vessel disease. Plan CABG. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain.

ACUTE VIRAL INFECTION LV APICAL CLOT ( Resolved) OLD ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION S/P PTCA (At PK DAS Ottapalam) POST COVID SEQUALAE ACUTE KIEDNEY INJURY SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of breathlessness acute onset and progressive in nature. He was treated with Antiplatelets statin diuretics bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathlessness acute onset and progressive in nature. He is a known case of a old AWMI S/P PTCA diabetes mellitus and hypertension.

ACUTE BRONCHITIS SEPSIS ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of breathing difficulty since 3 days. She was treated with Antiplatelets statin bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathing difficulty since 3 days.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest discomfort since noon associated with nausea & vomiting and mild breathlessness. She is a known case of hypertension and diabetes mellitus. 2D ECHO shows No RWMA Normal LV systolic function concentric LVH mild tricuspid regurgitation mild PAH grade I LVDD IVC normal in size and collapsing and TMT is inconclusive. She was treated with Antiplatelets statin anti emetics and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest discomfort since noon associated with nausea & vomiting and mild breathlessness. She is a known case of hypertension and diabetes mellitus.

ACUTE CORONARY SYNDROME CORONARY ARTERY DISEASE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- PTCA WITH STENTING TO SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of extensive sweating abdominal discomfort and pain in both region . He is a known case of hypertension and diabetes mellitus.

ACUTE CORONARY SYNDROME- NSTEMI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (24/07/2023) URINARY TRACT INFECTION SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of chest pain and burning sensation. CAG was done which shows single vessel disease. Plan medical management Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain and burning sensation. He is a known case of diabetes mellitus.

ACUTE CVA ACUTE HEART FAILURE (HFrEF) OLD INFERIOR WALL MI OLD ANTERIOR WALL MI CORONARY ARTERY DISEASE SEVERE LV SYSTOLIC DYSFUNCTION SEVERE PAH S/P PTCA WITH STENTING TO RCA (11/03/2011) CAG-TRIPLE VESSEL DISEASE Patent stent in RCA (06/10/2016) S/P CABG-(2000) POST COVID SEQUALAE SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of deviation of angle of mouth right side since today morning. He is a known case of S/P PTCA S/P CABG and hypertension. He was treated with Antiplatelets statin inj. strocit bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of deviation of angle of mouth right side since today morning. He is a known case of S/P PTCA S/P CABG and hypertension.

EVOLVED ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG-SINGLE VESSEL DISEASE (09/05/2023) PRIMARY PTCA WITH STENTING TO LAD (09/05/2023) TYPE II DIABETES MELLITUS ( newly detected on admission time- 09/05/2023)

Patient was admitted with the complaints of chest pain radiating to left arm and back associated with sweating and palpitation with history of dyspnea on exertion since two weeks. CAG was done which shows single vessel disease. Hence primary PTCA with stenting to LAD. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain radiating to left arm and back associated with sweating and palpitation with history of dyspnea on exertion since two weeks.

ACUTE PULMONARY EDEMA ANTERIOR WALL MI (DELAYED PRESENTATION) ISCHEMIC HEART DISEASE MODERATE LV SYSTOLICDYSFUNCTION CAG- DOUBLE VESSEL DISEASE (10/12/2022) S/P PTCA WITH STENTING TO OSTIOPROXIMAL & MID RCA (10/12/2022) & MID LAD (12/12/2022) TYPE II DIABETES MELLITUS HYPONATREMIA & HYPOKALEMIA

Patient was admitted with the complaints of tiredness loss of appetite since one week. 2D Echo shows RWMA(apex mid septum mid anterior wall is hypokinetic) Moderate LV systolic dysfunction trivial mitral regurgitation trivial tricuspid regurgitation LVDD SAV trivial aortic regurgitation IVC normal in size and collapsing. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of tiredness loss of appetite since one week.

ACUTE CORONARY SYNDROME -NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES WITH SLOW FLOW (11/03/2023) POST COVID SEQUALAE

Patient was admitted with the complaints of chest pain retrosternal.2D ECHO shows No RWMA Normal LV systolic function trivial tricuspid regurgitation IVC normal in size and collapsing. USG abdomen shows No significant sonologically detectable abnormalities in the present study. CAG was done which shows normal coronaries. Plan medical management. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin bronchodilators and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain retrosternal.

RECENT ACUTE CORONARY SYNDROME - NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE(LAD) (at NG Hospital (29/03/2023) HYPERHOMOCYSTEINEMIA

Patient was admitted with the complaints of giddiness one episodes and pain in intrascapular region. She was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of giddiness one episodes and pain in intrascapular region.

DENGUE FEVER NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of fever and chills since 3days. He was treated with Antipyretics bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of fever and chills since 3days.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- DOUBLE VESSEL DISEASE (23/07/2023) PRIMARY PTCA WITH STENTING TO MID RCA (23/07/2023) CAG – SINGLE VESSEL DISEASE PATENT STENT IN RCA (21/07/2023) CAG- TRIPLE VESSEL DISEASE (21/10/2020) S/P PTCA WITH STENTING TO RCA (CTO) (21/10/2020)

Patient was admitted with the complaints of retrosternal chest pain radiating to left upper limb. CAG was den which shows single vessel disease patent stent in RCA (21/07/23). CAG shows Double vessel disease (23/07/23) Hence PTCA with stenting to mid RCA. Post procedure period was uneventful. USG abdomen shows Focal mucosal hypertrophy bladder base. To exclude bladder papilloma. Urologist consultation was done and managed accordingly. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of retrosternal chest pain radiating to left upper limb.

VIRAL LRTI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of loss of consciousness giddiness and cough since 10 days. 2D echo shows normal and TMT is negative. He was treated with Antiplatelets statin bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of loss of consciousness giddiness and cough since 10 days.

ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- MILD DISEASE (29/11/20223) RENAL ANGIOGRAPHY- Right renal injection shows normal and left renal injection shows OSTIAL RENAL ARTERY has 50% stenosis (29/11/2023) CHRONIC KIDNEY DISEASE DYSLIPIDEMIA HYPOTHYROIDISM TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of dyspnea on exertion grade II. Blood investigation shows low level Hb which is corrected by one pint of packed cell RBC. CAG was done which shows mild disease. Plan medical management. Renal angiography shows Right renal injection shows normal and left renal injection shows OSTIAL RENAL ARTERY has 50% stenosis (29/11/2023). Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of dyspnea on exertion grade II . She is a known case of a diabetes mellitus and hypertension.

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (27/07/2022) PTCA WITH STENTING TO mid LCX –MAJOR OM & MID LAD (CTO) (09/08/2022) CHRONIC KIDNEY DISEASE BRONCHIECTASIS SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted for multivessel PCI. He is a known case of bronchiectasis allergic bronchopulmonary aspergillosis CKD and diabetes mellitus. CAG shows Double vessel disease. Hence PTCA with stenting to mid LCX –MAJOR OM & MID LAD (CTO) (09/08/2022). Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted for multivessel PCI. He is a known case of bronchiectasis allergic bronchopulmonary aspergillosis CKD and diabetes mellitus.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- RECANALISED RAMUS WITH MILD DISEASE (03/04/2023) COPD SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of chest pain associated with sweating and palpitation since morning. CAG was one which shows recanalised RAMUS with mild disease. Post procedure period was uneventful. Other than that she was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain associated with sweating and palpitation since morning.

INTERSTITIAL LUNG DISEASE POST COVID SEQUALAE (6 Months back) CORONARY ARTERY DISEASE MODERATE LV SYSTOLIC DYSFUNCTION S/P CABG (1997) HYPOTHYROIDISM TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of cough with expectoration through out day and nigh since 1 week. mild exertional dyspnoea. He is a known case of hypothyroidism and diabetes mellitus. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of cough with expectoration through out day and nigh since 1 week. mild exertional dyspnoea. He is a known case of hypothyroididsm and diabetes mellitus.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES (21/10/2022 ) CAROTID ANGIOGRAM : RIGHT ICA 50 % STENOSIS (21/10/2022) ? VBI

Patient was admitted with the complaints of giddiness. carotid angio shows right ICA 50% stenosis. CAG was done which shows normal coronaries. Plan medical management. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of giddiness.

CELLULITIS ACUTE VIRAL INFECTION OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-TRIPLE VESSEL DISEASE (28/08/2021) S/P PTCA WITH STENTING TO MID RCA & MID LAD (28/08/2021)

Patient was admitted with the complaints of breathlessness fever and leg swelling since 2 days. Left lower limb venous Doppler shows No evidence of deep venous thrombosis in the left lower limb deep venous system. General surgeon consultation was done and managed accordingly. He was treated with Antiplatelets statin diuretics bronchodilators and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathlessness fever and leg swelling since 2 days.

MYOCARDITIS ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- NORMAL CORONARIES (01/08/2023) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of tiredness giddiness and exertional dyspnea. CAG was done which shows normal coronaries. Post procedure period was uneventful. Other than that she was treated with Antiplatelets statin bronchodilators diuretics and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of tiredness giddiness and exertional dyspnea. She is a known case of diabetes mellitus and hypertension.

ACUTE CORONARY SYNDROME - NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE(05/10/2023) PRIMARY PTCA WITH STENTING TO DISTAL LAD (POBA) (05/10/2023) TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of chest burning sensation. CAG was done which shows single vessel disease. Hence primary PTCA with stenting to distal LAD (POBA).Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest burning sensation. He is a known case of diabetes mellitus.

POVD ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION PAG- PVD(05/01/2023) COPD SYSTEMIC HYPERTENSION PLAN : PTA to Right SFA

Patient was admitted with the complaints of claudication pain grade II. He is a known case of COPD diabetes mellitus and hypertension. PAG was done which shows POVD. Plan PTA to right SFA. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of claudication pain grade II. He is a known case of COPD and hypertension.

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISESAE (13/04/2022) PTCA WITH STENTING TO MID LAD(13/04/2022) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest pain since 2 week exertional dyspnea since 1 month. She is a known case of hypertension and diabetes mellitus. CAG was done which shows Double vessel disease. Hence PTCA with stentig to mid LAD was done. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain since 2 week exertional dyspnea since 1 month. She is a known case of hypertension and diabetes mellitus.

ACUTE INFERIOR WAL MI CARDIOGENIC SHOCK TIA ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-SINGLE VESSEL DISEASE (05/03/2022) PRIMARY PTCA WITH STENTING TO PROXIMAL RCA (05/03/2022) HYPOKALEMIA SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of fever & headache since yesterday associated with tiredness unconscious since morning and chest discomfort involuntary habits taken to a nearly hospital was referred to hospital for further management. He is a known case of hypertension. CAG was done which shows single vessel disease. Hence Primary PCTA with stenting to proximal RCA was done. Post procedure period was uneventful. CT brain shows Acute left periventricular white matter infarct Age related neuroparenchymal atrophy with subcortical ischemia. Other than that he was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of fever & headache since yesterday associated with tiredness unconscious since morning and chest discomfort involuntary habits taken to a nearly hospital was referred to hospital for further management. He is a known case of hypertension.

AF WITH FVR POST COVID MYOCARDITIS LV APICAL CLOT ( Resolved) ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION LBBB POST COVID SEQUALAE OLD CVA CA ORAL CAVITY

Patient was admitted with the complaints of breathlessness. 2D Echo shows Global LV hypokinesia severe LV systolic dysfunction moderate mitral regurgitation mild tricuspid regurgitation mild PAH SAV trivial aortic regurgitation IVC dilated in size and collapsing. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathlessness.

POST COVID SEQUALAE ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE (02/12/2019) S/P PTCA WITH STENTING TO LCX (05/12/2019) BPH SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of lower abdominal pain since 2 days and urinary incontinence. He is a known case of S/P PTCA to LCx (2019) hypertension and diabetes mellitus. USG abdomen shows Fatty hepatomegaly Grade I prostatomegaly. Urologist consultation was done and managed accordingly. He was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of lower abdominal pain since 2 days and urinary incontinence. He is a known case of S/P PTCA to LCx (2019) hypertension and diabetes mellitus.

VIRAL PNEUMONIA COVID -19 CATEGORY C COPD ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG- LM+ TRIPLE VESSEL DISEASE (22/10/2019) S/P PTCA WITH STENTING TO LM- LAD (23/10/2019) URINARY TRACT INFECTION BRONCHIECTASIS TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of cough. Pulmonologist consultation was done and managed accordingly. He was treated with Antiplatelets statin diuretics bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of cough. He is a known case of a hypertension.

ACUTE CORONARY SYNDROME -NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (25/02/2023) PTCA WITH STENTING TO PROXIMAL-MID LAD (25/02/2023)

Patient was admitted with the complaints of chest pain radiating to left arm. CAG was done which shows single vessel disease. Hence PTCA with stenting to proximal-mid LAD. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain radiating to left arm.

ACUTE CORONARY SYNDROME- NSTEMI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION PTCA WITH STENTING TO DISTAL LAD & RPDA (19/09/2023) CAG-DOUBLE VESSEL DISEASE (13/10/2021) S/P PTCA WITH STENTING TO LCX –OM1 & LAD (13/10/2021) TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of abdominal pain. PTCA with stenting to distal LAD & RPDA. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of abdominal pain.

ACUTE STROKE ( 70% left ICA callosum ) ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAROTID ANGIOGRAM : MILD DISEASE (14/03/2023) CAG- NORMAL CORONARIES (14/03/2023) BULKY UTERUS WITH FIBROIDS ANEMIA UNDER EVALUATION SYSTEMIC HYPERTENSION

Patient was admitted with history of weakness of right hand since one week. Carotid angiography shows mild disease. CAG was done which shows normal coronaries. Plan medical management. Post procedure period was uneventful. Other than that she was treated with Antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with history of weakness of right hand since one week.

LIVER CIRRHOSIS WITH PORTAL HYPERTENSION OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION RIGHT RENAL CALCULUS TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of easily fatigable malena and constipation. 2D ECHO shows RWMA(inferior wall infero septum is mildly hypokinetic) Mild LV systolic dysfunction mild mitral regurgitation trivial tricuspid regurgitation. CT abdomen Features suggestive of Chronic Hepatic Paenchymal disease with porto- systemic collateralization suggest correlation with LFTs upper GI scopy Mild Splenomegaly No evidence of Hepatic Mass Lesion. he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of easily fatigable malena and constipation. He is a known case of diabetes mellitus.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (12/06/2023) PTCA WITH STENTING TO DISTAL LCx –OM2 (12/06/2023) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of retrosternal chest pain. 2D ECHO shows No RWMA Normal LV systolic function trivial mitral regurgitation trivial tricuspid regurgitation IVC normal in size and collapsing. CAG was done which shows single vessel disease. Hence PTCA with stenting to distal LCx –OM2. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of retrosternal chest pain.

ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CHRONIC KIDNEY DISEASE OSTEOPOROSIS SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of dyspnea & cough. He is a known case of CKD hypertension and diabetes mellitus. He was stabilized n oxygen via NIV support. CT thorax shows Mild free right pleural effusion Bilateral lower lobe superior segment and upper lobe ground glass opacification Congestive liver Above CT findings consistent with cardiac decompensation. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of dyspnea & cough. He is a known case of CKD hypertension and diabetes mellitus.

ACUTE HEART FAILURE (HFrEF) ACUTE PULMONARY EDEMA ACUTE CORONARY SYNDROME-NSTEMI SEVERE LV SYSTOLIC DYSFUNCTION MODERATE MR TR & PAH ATELECTASIS HYPOKALEMIA

Patient was admitted with the complaints of breathlessness acute onset. She was stabilized on oxygen via NIV support. HRCT lungs shows Bilateral basal segmental interstitial thickening / edema Mild cardiomegaly with CAD and pulmonary arterial hypertension Bilateral mild pleural effusions Bilateral lower lobe sub- segmental atelectasis. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathlessness acute onset.

LRTI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION TYPE II DIABETES MELLITUS (Newly Detected)

Patient was admitted with the complaints of cough fever since 3 days. He was treated with bronchodilators inj.levoflox IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of cough fever since 3 days.

MICROVASCULAR ANGINA NORMAL LV SYSTOLIC FUNCTION CAG-MYOCARDIAL BRIDGE IN LAD (22/05/2023) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of dyspnea & chest pain on exertion relieved by taking rest. CAG was done which shows myocardial bridge in LAD. Plan medical management. Post procedure period was uneventful. Other than that she was treated with Antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of dyspnea & chest pain on exertion relieved by taking rest. She is a known case of diabetes mellitus and hypertension.

ACUTE CORONARY SYNDROME CORONARY ARTERY DISEASE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- PTCA WITH STENTING TO SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of. He is a known case of diabetes mellitus and hypertension.

AF WITH FVR ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest discomfort since yesterday and sweating. She is a known case of hypertension. she was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest discomfort since yesterday and sweating. She is a known case of hypertension.

STABLE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES (20/11/2023)

Patient was admitted with the complaints of chest pain and palpitation. CAG was done which shows normal coronaries. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain and palpitation.

OLD ANTERIOR WALL MI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION S/P PTCA TO LAD (2007)

Patient was admitted with the complaints of chest pain retrosternal associated with sweating. 2d echo shows RWMA(anteroseptum is mildly hypokinetic) fair LV systolic function mild mitral regurgitation trivial tricuspid regurgitation grade I LVDD. TMT is negative. She was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain retrosternal associated with sweating.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-SINGLE VESSEL DISEASE (15/12/2023) PTCA WITH STENTING TO OM & LCX (15/12/2023)

Patient was admitted with the complaints of chest pain since 2 days back. CAG was done which shows single vessel disease. Hence PTCA with stenting to OM & LCx. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain since 2 days back.

LBBB ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC DYSFUNCTION COPD TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of fever three days duration breathlessness since 2 days . She is a known case of COPD and diabetes mellitus. She was stabilized on oxygen via NIV support. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of fever three days duration breathlessness since 2 days . She is a known case of COPD and diabetes mellitus.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- DOUBLE VESSEL DISEASE (11/07/2023) PTCA WITH STENTING TO DISTAL LAD & DISTAL LCX (11/07/2023) OLD CVA BPH TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of chest pain radiating to left shoulder and arm associated with sweating and palpitation. He is a known case of old CVA and diabetes mellitus. CAG was done which shows double vessel disease. Hence PTCA with stenting to distal LAD & Distal LCx. Post procedure period was uneventful. Urologist & Neurologist consultation was done and managed accordingly. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain radiating to left shoulder and arm associated with sweating and palpitation. He is a known case of old CVA and diabetes mellitus.

RECENT ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE (05/09/2022) POBA TO MID RCA (ISR) (05/09/2022) CAG-TRIPLE VESSEL DISEASE (30/11/2020-OUTSIDE) S/P PTCA WITH STENTING TO OSTIO PROXIMAL RCA & MID LAD (03/12/2020) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest pain radiates to left upper limb and back of scapula. CAG was don e which shows Double vessel disease. Hence POBA to mid RCA (ISR) was done. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain radiates to left upper limb and back of scapula. He is a known case of hypertension and diabetes mellitus.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- SLOW FLOW (18/10/2023) DYSLIPIDEMIA SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of retrosternal chest pain radiating to left upper limb. CAG was done which shows slow flow. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of retrosternal chest pain radiating to left upper limb. He is a known case of hypertension.

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- TRIPLE VESSEL DISEASE (08/12/2022) RBBB SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS PLAN : CABG

Patient was admitted with the complaints of chest burning sensation and dyspnea on exertion grade II. She is a known case of hypertension and diabetes mellitus. CAG was done which shows triple vessel disease. Plan CABG. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest burning sensation and dyspnea on exertion grade II. She is a known case of hypertension and diabetes mellitus.

BILATERAL VIRAL PNEUMONIA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- NORMAL CORONARIES (02/10/2023) POST COVID SEQUALAE

Patient was admitted with the complaints of chest pain radiating to left shoulder and arm associated with cough. CAG was done which shows normal coronaries. Post procedure period was uneventful. Other than that she was treated with Antiplatelets statin bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain radiating to left shoulder and arm associated with cough.

INTERSTITIAL LUNG DISEASE TRIFASCICULAR BLOCK ACUTE HEART FAILURE (HFrEF) ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION MODERATE MR

Patient was admitted with the complaints of dyspnea on exertion since 1 week progressive in nature developed breathlessness since morning with history of loose stool. He was stabilized on oxygen via NIV support. 2D ECHO shows Global LV hypokinesia severe LV systolic dysfunction mild to moderate mitral regurgitation mild tricuspid regurgitation mild PAH mild aortic regurgitation bilateral pleural effusion IVC dilated in size and less collapsing. Holter connected at 11.40 Am Holter removed at 11.40 Am on 24/02/2022. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of dyspnea on exertion since 1 week progressive in nature developed breathlessness since morning with history of loose stool.

COPD NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of cough with expectoration since 1 days. He was treated with bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of cough with expectoration since 1 days.

URINARY TRACT INFECTION HYPONATREMIA (Recovered) ACUTE LVF ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION ACUTE KIDNEY INJURY HYPOTHYROIDISM

Patient was admitted with the complaints of tiredness since 2 days decreased food intake and associated with dyspnea on exertion. She is a known case of hypothyroidism. On evaluation patient found to have UTI. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of tiredness since 2 days decreased food intake and associated with dyspnea on exertion. She is a known case of hypothyroidism.

HYPOGLYCEMIA HYPOXIC ISCHEMIC ENCEPHELOPATHY TYPE II RESPIRATORY FAILURE RESPIRATORY ACIDOSIS ISCHEMIC HEART DISEASE ( drug default) POST INFRACTION ANGINA NORMAL LV SYSTOLIC FUNCTION S/P PTCA WITH STENTING TO RCA ASD WITH LEFT TO RIGHT SHUNT (20mm) SEVERE PAH MODERATE TR POST COVID SEQUALAE TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of tiredness. On evaluation patient found to have hypoglycemia. She was treated with 10% Dextrose inj.strocit inj.Levepil Antiplatelets statin diuretics bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of tiredness. He is a known case of diabetes mellitus and hypertension.

ANEMIA EVOLVED ANTERIOR WALL MI HYPONATREMIA (Recovered) ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION SEVERE MITRAL REGURGITATION H/O SEIZURE DISORDER DYSLIPIDEMIA SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest discomfort since morning associated with sweating & palpitation and abdominal pain since noon. She is a known case of hypertension. She was stabilized on oxygen via NIV support.blood investigations shows low Hb level which is corrected by three pint of packed cell RBC. she was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest discomfort since morning associated with sweating & palpitation and abdominal pain since noon. She is a known case of hypertension.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE (31/10/2022 ) PTCA WITH STENTING TO OSTIOPROXIMAL OM1 & OSTIOPROXIMAL D1( 31/10/2022)

Patient was admitted with the complaints of chest pain retrosternal radiating to left upper limb. CAG was done which shows double vessel disease. Hence PTCA with stenting to ostioproximal OM1 & ostioproximal D1. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain retrosternal radiating to left upper limb.

LBBB ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG-MILD DISEASE (01/12/2021) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of tiredness since 1 week. She is a known case of hypertension and diabetes mellitus. CAG was done which shows mild disease. Plan medical management. Post procedure period was uneventful. Other than that she was treated with Antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of tiredness since 1 week. She is a known case of hypertension and diabetes mellitus.

ANEMIA UNDER EVALUATION ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of chest pain radiating to left arm. Blood investigations shows low Hb level and suggest blood transfusion. She was treated with Antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain radiating to left arm.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (02/09/2023) PRIMARY PTCA WITH STENTING TO MID LAD (02/09/2023) TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of chest pain radiating to left shoulder and breathing difficulty. CAG was done which shows single vessel disease. Hence primary PTCA with stenting to mid LAD. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain radiating to left shoulder and breathing difficulty. He is a known case of diabetes mellitus.

B/L VIRAL PNEUMONIA(? post covid –pulmonary embolism) NON CARDIOGENIC PULMONARY EDEMA SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness sudden onset progress in nature. Patient was admitted with the complaints of breathlessness sudden onset progress in nature. She is a known case of hypertension and diabetes mellitus. She was treated with NIV support but was not stabilized.ABG done whichshows severe Respiratory Acidosis.She was placed in mechanical ventilator for 3 days.series of ABG done and was extubated after stabilizing.she was placed in Intermittend NIV She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathlessness sudden onset progress in nature. She is a known case of hypertension and diabetes mellitus.

RIGHT LOWER ZONE PNEUMONIA RHEUMATIC HEART DISEASE MULTIPLE CLOTS IN LA & LA APPENDAGE FAIR LV SYSTOLIC FUNCTION SEVERE MITRAL STENOSIS SEVERE PAH & TR HYPOTHYROIDISM SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of tiredness and exertional dyspnea She was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of tiredness and exertional dyspnea. She is a known case of hypertension.

POST COVID STATUS (positive on 8/2021) ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MINOR CAD (05/01/2022) HYPOTHYROIDISM SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of retrosternal chest pain associated with dyspnea on exertion grade II. He is a known case of hypertension. 2D ECHO shows No RWMA Normal LV systolic function mild mitral regurgitation IVC normal in size and collapsing. CAG was done which shows minor CAD. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of retrosternal chest pain associated with dyspnea on exertion grade II. He is a known case of hypertension.

EFFORT ANGINA ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (08/09/2022-Coimbatore) PTCA WITH STENTING TO PROXIMAL-MID LCX & PROXIMAL & MID LAD (OVERLAPPING 2 DES) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of effort angina. CAG was done which shows double vessel disease. Hence PTCA with stenting to proximal-mid LCX & proximal & mid LAD (overlapping 2 DES). Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of effort angina. He is a known case of hypertension.

POST COVID SEQUALAE TMT POSITIVE : 12/07/22 ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MYOCARDIAL BRIDGE (13/07/2022)

Patient was admitted with the complaints of excertional dyspnea grade II. CAG was done which shows myocardial bridge. Plan medical management. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of excertional dyspnea grade II.

ACUTE CORONARY SYNDROME AF WITH FVR ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-LM+TRIPLE VESSEL DISEASE (24/07/2023) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS PLAN : CABG- As age is 85 years procedure being risky bystanders opted for medical therapy.

Patient was admitted with the complaints of giddiness and breathlessness. She is a known case of diabetes mellitus and hypertension. CAG was done which shows LM+ Triple vessel disease. Plan CABG. Post procedure period was uneventful. Other than that she was treated with Antiplatelets statin bronchodilators inj.cardarone IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of giddiness and breathlessness. She is a known case of diabetes mellitus and hypertension.

CENTRAL RETINAL ARTERY OCCLUSION NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of transient loss of vision of right eye from morning. He was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of transient loss of vision of right eye from morning.

OLD INFERIORWALL MI COMPLETE HEART BLOCK CARDIOGENIC SHOCK ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (23/10/2022 ) S/P PRIMARY PTCA WITH STENTING TO PROXIMAL –MID RCA (2 DES) (23/10/2022) HYPER EOSINOPHILIA HYPERTHYROIDISM TYPE II DIABETES MELLITUS (Newly detected)

Patient was admitted with the complaints of breathlessness. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathlessness. He is a known case of hyperthyroidism.

LATERAL WALL MI THROMBOLIZED WITH INJ. STK ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-TRIPLE VESSEL DISEASE (06/01/2022) (D1-100% occluded PLV-99% stenosis LCx-90% stenosis) PLAN : PTCA DYSLIPIDEMIA SYSTEMIC HYPERTENSION

Patient was admitted for CAG with the complaints of loss of consciousness. He is a known case of hypertension. CAG was done which shows TRIPLE VESSEL DISEASE. Plan multi vessel PCI. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted for CAG with the complaints of loss of consciousness. He is a known case of hypertension.

EFFORT ANGINA CORONARY ARTERY DISEASE MILD LV SYSTOLIC DYSFUNCTION MODERATE AR CAG-DOUBLE VESSEL DISEASE (16/01/2023) PTCA WITH STENTING TO PROXIMAL RCA (16/01/2023) S/P CABG-AVR (03/11/2015) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of effort angina. He is a known case of S/P CABG+AVR and hypertension. CAG was done which shows double vessel disease. Hence PTCA with stenting to proximal RCA . Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of effort angina. He is a known case of S/P CABG+AVR (2015) and hypertension.

ACUTE CORONARY SYNDROME-NSTEMI NORMAL LV SYSTOLIC FUNCTION CAG-MILD DISEASE Coronary cameral fistula in Distal RCA (11/01/2024) TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain. He is a known case of a diabetes mellitus and hypertension. CAG was done which shows mild disease Coronary cameral fistula in distal RCA. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain. He is a known case of a diabetes mellitus and hypertension.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE (02/07/2023) PRIMARY PTCA WITH STENTING TO MID RCA (02/07/2023) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest discomfort and shoulder pain CAG was done which shows single vessel disease. Hence primary PTCA with stenting to mid RCA. Post procedure period was uneventful. Other than that She was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest discomfort and shoulder pain. She is a known case of hypertension.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-SINGLE VESSEL DISEASE (15/11/2021) PRIMARY PTCA WITH STENTING TO DISTAL RCA-PDA (15/11/2021) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain radiating to left arm associated with sweating. CAG was done which shows double vessel disease. Hence primary PTCA with stenting to distal RCA-PDA was done. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain radiating to left arm associated with sweating. He is a known case of hypertension.

ANEMIA OF CHRONIC DISEASE URINARY TRACT INFECTION OLD CVA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CHRONIC KIDNEY DISEASE SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of tiredness since 2 days progressive in nature. He is a known case of CKD old CVA hypertension and diabetes mellitus. Blood investigations shows low Hb level which is corrected by three pint of packed cell RBC. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of tiredness since 2 days progressive in nature. She is a known case of CKD old CVA hypertension and diabetes mellitus. Blood group : O positive

URINARY TRACT INFECTION ACUTE PULMONARY EDEMA DRESSLER’S SYNDROME ACUTE HEART FAILURE (HFrEF) ANTERIOR WALL MI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION CAG-TRIPLE VESSEL DISEASE (04/05/2022) S/P PRIMARY PTCA WITH STENTING TO PROXIMAL-MID LAD (04/05/2022) ACUTE KIDNEY INJURY DYSLIPIDEMIA SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathing difficulty since today morning and vomiting two episodes since yesterday night. She is a known case of hypertension and diabetes mellitus. On evaluation patient found to have UTI. Nephrologist consultation was done and managed accordingly. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathing difficulty since today morning and vomiting two episodes since yesterday night. She is a known case of hypertension and diabetes mellitus.

ACUTE CORONARY SYNDROME - NSTEMI LBBB RENAL ARTERY STENOSIS ACUTE HEART FAILURE( HFrEF) ACUTE PULMONARY EDEMA CORONARY ARTERY DISEASE SEVERE LV SYSTOLIC DYSFUNCTION MODERATE MR & PAH S/P CABG-(1991) CHRONIC KIDNEY DISEASE (On hemodialysis) URINARY TRACT INFECTION POST COVID SEQUALAE HYPONATREMIA (Recovered) ANEMIA OF CHRONIC DISEASE COPD SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain. He is a known case of CKD and hypertension. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain. He is a known case of CKD and hypertension.

INTERMINATE LEFT UPPER SOFT TISSUE ATTENUATION OPACITY ATELECTASIS LRTI INFERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION MODERATE AORTIC REGURGITATION CAG-DOUBLE VESSEL DISEASE (17/02/2021) S/P PTCA WITH STENTING TO LCX & RCA (18/02/2021) TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness acute onset. He is a known case of diabetes mellitus. He was stabilized on oxygen via NIV support. CT thorax shows Mild to moderate free bilateral pleural effusions Right basal segmental consolidation with bilateral lower lobe basal segmental compressive atelectasis Interminate left upper soft tissue attenuation opacity for CT follow up. Pulmonologist consultation was done and managed accordingly. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathlessness acute onset. He is a known case of diabetes mellitus.

AF WITH FVR MYOCARDITIS RHEUMATIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION MVP WITH MODERATE MR HYPOKALEMIA (Recovered) POST COVID SEQUALAE ANEMIA HYPOTHYROIDISM

Patient was admitted with the complaints of dyspnea on exertion associated with Orthopnea & PND. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of dyspnea on exertion associated with Orthopnea & PND.

POST COVID SEQUALAE OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION BRONCHITIS DYSLIPIDEMIA HYPOTHYROIDISM

Patient was admitted with the complaints of dyspnea on exertion since 1 week with history of mild chest discomfort since 2 days. She is a known case of Hypo thyroidism. Above CT findings consistent with cardiac decompensation. She was treated with Antiplatelets statin bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of dyspnea on exertion since 1 week with history of mild chest discomfort since 2 days. She is a known case of Hypo thyroidism.

URINARY TRACT INFECTION SEPSIS HYPERTROPHIC CARDIOMYOPATHY LBBB NORMAL LV SYSTOLIC FUNCTION TYPE I RESPIRATORY FAILURE POST COVID SEQUALAE HYPONATREMIA ( Recovered) CHOLECYSTITIS HYPERTHYROIDISM TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of tiredness. She was stabilized on oxygen via NIV support. Pulmonologist consultation was done and managed accordingly. she was treated with Antiplatelets statin diuretics bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of tiredness. She is a known case of a diabetes mellitus and hypertension.

AF WITH FVR Normal sinus rhythm PPI- VVIR (25/11/2023) ISCHEMIC HEART DISEASE MODERATE AORTIC STENOSIS with MODERATE AR NORMAL LV SYSTOLIC FUNCTION HYPOTHYROIDISM SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of breathlessness acute onset progressive in nature . She is a known case of a hypothyroidism and hypertension. PPI –VVIR was done under aseptic precaution with left subclavian puncture was done on 25/11/2023. Post procedure period was uneventful. Other than that she was treated with Antiplatelets statin diuretics bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathlessness acute onset progressive in nature . She is a known case of a hypothyroidism and hypertension.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (13/06/2022) PTCA WITH STENTING TO OSTIO PROXIMAL OM (13/06/2022) & PROXIMAL & DISTAL RCA (15/06/2022) COPD

Patient was admitted with the complaints of chest discomfort since today morning radiating to arm & fore arm. 2D ECHO shows RWMA(Inferior wall is hypokinetic) mild LV systolic dysfunction trivial tricuspid regurgitation grade I LVDD IVC normal in size and collapsing. CAG was done which shows double vessel disease. Hence PTCA with stenting to ostio proximal OM (13/06/2022) & proximal & distal RCA (15/06/2022). Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest discomfort since today morning radiating to arm & fore arm.

AF WITH FVR ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of chest pain and giddiness. She was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain and giddiness. She is a known case of diabetes mellitus and hypertension.

URINARY TRACT INFECTION LRTI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of fever cough nausea and vomiting. On evaluation patient found to have UTI. She was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of fever cough nausea and vomiting. She is a known case of diabetes mellitus.

COPD CORONARY ARTERY DISEASE SEVERE LV SYSTOLIC DYSFUNCTION S/P CABG- (2009) BPH ACUTE ON CHRONIC KIDNEY DISEASE SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of breathlessness. He is a known case of s/p CABG CAD diabetes mellitus and hypertension. He was stabilized on oxygen via NIV support. USG abdomen shows Bilateral renal parenchymal changes Grade I prostatomegaly. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathlessness. He is a known case of s/p CABG CAD diabetes mellitus and hypertension.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of chest pain since morning associated with sweating with history of nausea and vomiting. She was treated with Antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain since morning associated with sweating with history of nausea and vomiting.

ACUTE INFERIOR WALL MI LRTI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC dysFUNCTION CAG- SINGLE VESSEL DFISEASE(18/08/22) PRIMARY PTCA WITH STENTING TO MID – DISTAL LCX(18/08/22) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest discomfort since 4 days progress in naturepain aggravetad and radiates to (R) arm and back. She is a known case of hypertension and diabetes mellitus. CAG was done which shows Single vessel disease. Hence PTCA with stenting to Mid - distal LCX. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest discomfort since 4 days progress in naturepain aggravetad and radiates to (L) arm and back. She is a known case of hypertension and diabetes mellitus.

ACUTE ON CHRONIC HEART FAILURE (HFrEF) ANEMIA UNDER EVALUATION OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION CAG-TRIPLE VESSEL DISEASE (22/11/2016-At Thankam hospital) S/P POBA TO RCA (22/11/2016-At Thankam hospital) CHRONIC KIDNEY DISEASE- STAGE V SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of vomiting -3 episodes since yesterday. He is a known case of CKD S/P PTCA diabetes mellitus and hypertension. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of vomiting -3 episodes since yesterday. He is a known case of CKD S/P PTCA diabetes mellitus and hypertension.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MINOR CAD (28/12/2021) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of dyspnea on exertion since 3 days. He is a known case of hypertension. CAG was done which shows minor CAD. Plan management. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of dyspnea on exertion since 3 days. He is a known case of hypertension.

ACUTE CORONARY SYNDROME - NSTEMI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- DOUBLE VESSEL DISEASE (03/11/2022 ) LEFT T1 DEBRIDEMENT DONE ON (04/11/2022) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of non healing ulcer on right arm since one week history of dyspnea on exertion since 2 days associated chest discomfort. CAG was done which shows double vessel disease. Plan medical management. Post procedure period was uneventful. podiatric surgeon consultation was done and left T1 debridement was done on 04/11/2022. Other than that he was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of non healing ulcer on right arm since one week history of dyspnea on exertion since 2 days associated chest discomfort. He is a known case of diabetes mellitus.

ACUTE HEART FAILURE (HFrEF) ACUTE GASTROENTERITIS ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION BRONCHIECTASIS POST COVID SEQUALAE HYPOTHYROIDISM (Newly detected) TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of tiredness and loose stools . He is a known case of a diabetes mellitus. Pulmonologist consultation was done and managed accordingly. He was treated with Antiplatelets statin diuretics bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of tiredness and loose stools . He is a known case of a diabetes mellitus.

RECENT ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION ACUTE ON CHRONIC KIDNEY DISEASE CAG- TRIPLE VESSEL DISEASE (18/09/2019 ) URINARY TRACT INFECTION SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of burning micturition. On evaluation patient found to have recurrent UTI. He was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of burning micturition. He is a known case of hypertension and CKD.

OSTIUM SECUNDUM ASD WITH BIDIRECTIONAL SHUNT (30mm) NORMAL LV SYSTOLIC FUNCTION SEVERE PAH ( PULMONARY VASCULAR CHANGES – FIXED) EISENMENGER REACTION

Patient was admitted with the complaints of fever since night. She was treated with bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of fever since night.

TIA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION HYPER EOSINOPHELIA SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of giddiness. She is a known case of hypertension. 2D ECHO shows No RWMA Normal LV systolic function concentric LVH trivial mitral regurgitation IVC normal in size and collapsing. CT brain shows Old bilateral ganglio capsular lacunar infarcts Age related neuroparenchymal atrophy with subcortical ischemia. She was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of giddiness. She is a known case of hypertension.

STABLE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MYOCARDIAL BRIDGE IN LAD (27/06/2023) POST COVID SEQUALAE SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of retrosternal chest pain radiating to left upper limb. CAG was done which shows myocardial bridge in LAD. Plan medical management. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of retrosternal chest pain radiating to left upper limb. He is a known case of diabetes mellitus and hypertension.

POST COVID SEQUALAE ISCHEMIC HEART DISEASE DYSLIPIDEMIA SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS (Newly detected)

Patient was admitted with the complaints of dyspnea on exertion since 2 weeks and acute breathlessness. She is a known case of hypertension. She was treated with Antiplatelets statin bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of dyspnea on exertion since 2 weeks and acute breathlessness. She is a known case of hypertension.

POBD ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION S/P CABG (5years) PAG- PVD (01/12/2022 ) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of pain in left leg. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of pain in left leg. He is a known case of hypertension and diabetes mellitus.

ACUTE GASTRITIS NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of chest pain with history of consumption of alcohol. He was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain with history of consumption of alcohol.

MYOCARDITIS RESUSCITATED FROM CARDIAC ARREST FOLLOWED BY RECURRENT VT METABOLIC ACIDOSIS ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION PAG- POVD (04/05/2023) S/P PTA TO LEFT SFA (04/05/2023) ANEMIA LEFT HEAL DEBRIDEMENT DONE ON 06/05/2023 SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was referred from Ram polyclinic with complaints of breathing difficulty vomiting ?metabolic acidosis and acute gastritis. 2D Echo shows RWMA( apex mid septum mid anterior wall mid and basal inferior wall mid and basal posterior wall are hypokinetic) Severe LV systolic dysfunction. On hospital stay patient went to sudden cardiac arrest followed by recurrent VT DC shock 160J given and intubated under aseptic technique inj. Atropin & Adrenalin given. Emergency CPR was started. She was stabilized on oxygen via NIV support. Extubated on 26/05/2023. Blood investigations shows low Hb level which is corrected by one pint of packed cell RBC. Podiatric surgeon consultation was done and managed accordingly. Other than that she was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Explained poor condition of the patient to bystanders. Patient being discharged at request.

Patient was referred from Ram polyclinic with complaints of breathing difficulty vomiting ?metabolic acidosis and acute gastritis. She is a known case of diabetes mellitus.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- DOUBLE VESSEL DISEASE ( 24/01/2023) PTCA WITH STENTING TO MID RCA & OSTIOPROXIMAL – MID LAD (24/01/2023)

Patient was admitted with the complaints of chest pain radiating to upper limb. CAG was done which shows double vessel disease. Hence PTCA with stenting to mid RCA & ostioproximal – mid LAD. Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest pain radiating to upper limb.

ACUTE DIARRHEAL DISEASE OLD ANTERIOR WALL MI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAROTID ANGIOGRAPHY : RIGHT INTERNAL CAROTID ARTERY 100% (26/04/2022) CAG-TRIPLE VESSEL DISEASE(16/02/2019) S/P PTCA WITH STENTING TO LAD (2 DES) & LCX (16/02/2019) OLD CVA SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of loose stool vomiting multiple episodes. He is a known case of hypertension and diabetes mellitus. He was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of loose stool vomiting multiple episodes. He is a known case of old AWMI old CVA S/P PTCA (2019) hypertension and diabetes mellitus.