Atharva Multispeciality Ayurveda Hospital in Rajkot Gujrat :
Address :
2,Paras Society,, Nirmala Convent Road,Opp:Physiotherapy College,, Rajkot (Gujrat) – 360007
Phone : +91-281-2577156, 9825163953
Atharva Multispeciality Ayurveda Hospital in Rajkot (Gujrat) India
March 19, 2011 By 1 Comment
Opp:Physiotherapy College,, Rajkot (Gujrat) – 360007
Phone : +91-281-2577156, 9825163953
have treatment & How mutch aproxmately expnceDeprtment of Cardiology
Name: Baby Rajan AGE: 60 yrs SEX : Male
Date of Admission: 11/01/2012
Date of Discharge : 12/01/2012
DIAGNOSIS
**********
#CAD:S/P—?CAG:TRIPLE VESSEL DISEASE (11/01/2012)
-ADVICE:CABG
#HYPERCHOLESROLEMIA
#GOOD LV SYTOLIC FUNCTION
HISTORY
MR .Baby Rajan,60yrs, got adimitted for coronary angiogram to rule out CAD.
The patient was suffering from dyspnea on extertion and heaviness in chest since 2-3 weeks which worsened last week .He was consulted in outside hospital where his ECG was shoing T inversion in anterior leads ECHO study showed significant RWMA and he was advised coronary angiogram to rule out CAD. Hence came hwere for the same
O/E:-Conscious ,coherent, afebrile,
No pallor /icterus /clubbing/lymphadenopathy/
CVS:-S1 S+
HR :-70/mm
BP :-130/80 mmHg
RS : NVBS
RR-16/min
SPO2-99%(Room Air)
CNS:No focal neueological deficit
P/A : Soft,Non Tender,No evidence of organomealy
ECG; T inversion in anterior leads
LAB REPORTS
Hb – ————————- 14.8gm%
WBC————————– 9350/cmm
Platelet———————- 3.1lakhs/cmm
Neutorphils—————–70%
Eosinophil ——————02%
Lymphocyte—————-28%
ESR ————————–25mm/hr
RBS————————–117mg%
FBS————————–mg%
Creatinine—————–0.9mg%
Urea————————37mg%
T.Billirubin—————-mg%
Sodium——————–139mEq/L
Potassium—————-4.0mEq/l
CPK-MP——————-20.0
HIV————————-Negative
HCV————————Negative
HBsAg———————Negative
VDRL———————-Negative
PT Test—————-15sec
Control————13sce
INR————————1.2
COURSE IN THE HOSPITAL
Mr. Baby Rajan got admitted for coronary angiogram. His vitals were normal and ECG was showing T inversion in anterior leads .Pre cath check up was normal. Angiogram was done on 11/01/2012 nwhich reealed triple vessel disease and he was advised CABG..The procedure was uneventful and he was sable he is being discharged with following advise
DISCHARGE MEDICATION
1-T-Clopivas AP 150mg——-0-1-0
2-T-Sorbitrate 10mg ———1-1-1
3-t-Atorlip 40mg ————–0-0-1
4-T-Alprax 0.5 mg————–0-0-1
5-T-LyserD ———————-1-0-1 X 2dayes
6-C-Omez 20mg
ADVISC ON DISCHARGE
Review after one week in OPD
CABG
LOTUS HEART HOSPITAL
CORONARY ANGIOGRAM
Pationt Name; Baby Rajan Age/sex — 60yrs/M date:11/01/2012
MR.No. 105059 Procedure –CAG Cath No;
Technician : Mr.Vipn&Unais Scrub Nurse:Miss.Bijitha Access:Rt,Radial
Cather :5f Tiger Heparin: 2500IU Dye : max View -100ml
Doctor,s Name: Dr.Johnson George MD.Dip.Card
DESCRIPTION
1-T-Clopivas AP 150mg——-0-1-0
2-T-Sorbitrate 10mg ———1-1-1
3-t-Atorlip 40mg ————–0-0-1
4-T-Alprax 0.5 mg————–0-0-1
5-T-LyserD ———————-1-0-1 X 2dayes
6-C-Omez 20mg 1-0-0
IMPRSSSION
? CAD-Triple Vessel Disease
ADVICE
? CABG- GRAFTS TO LAD, OM1 PLB&PDA
D2 Echo Cardiography and Colour Doppler Report
Name: Baby Rajan —– Age : 60 SEX: M Date;10/01/2012
———————————————————————————————————————————————————
Echo Diagnosis:
—————————–Cardiac chembers (Normal values in Brackets)
Left ventricle
L VID S—- 5.5 —–(3.6-52)cm —- IVS D —– 0.8 — (.62-1.1)cm
L VID S—- 3.9 —–(2.3-3.9)cm —- IVS S ——- 1.4—- Cm
EDV ————— (95.5-19.4)ml — LVPW D 0.95 (.62-1.1)cm
SV ————— MI —– LVPW S 1.5 Cm
ESV ml ———– (38.6-95) EF% 55-60% (65_+10)
Left Atrium Aorta
A-P Dimension 37 (19-40) Root 32 (20-37)
Others
Doppler Studies
Mital Valve Flow Velocity E 0.6 M/S A 0.8 M/S
Triuspid Valve Flow Velocity E M/S A M/S
Pulmonary Valve Flow Velocity 0.8 M/S Gradient
Aortic Valve Flow Velocity 1.3 M/S Gradient
Deseriptive Data
LV mildy dilated
Apical and mid IVS, apical and mid anterior wall-hypokinetic
Good LV Systolic function
Imaired LV relaxation pattern
Aortic valve –selerotic ,1+AR
MV,PV,TV-Normal
Sepate- intact
NoPAH/colt/effusion
Impression
RWMA+s/o AWMI
Good LV systolic function