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ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (05/01/2023) PRIMARY PTCA WITH STENTING TO MID LAD (05/01/2023) CAG- LMCA+ TRIPPLE VESSEL DISEASE (2017) S/P PTCA WITH STENTING TO LMCA LAD & LCX (29/12/2017) COPD URINARY TRACT INFECTION ACUTE KIDNEY INJURY SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain from noon associated with abdominal discomfort pain radiating to left arm & back with history of dyspnea on exertion. He is a known case of hypertension and S/P PTCA(2017). 2D ECHO shows RWMA( apex anterior wall is hypokinetic) mild LV systolic dysfunction trivial mitral regurgitation. CAG was done which shows single vessel disease. Hence primary PTCA with stenting to mid LAD. Post procedure period was uneventful. on evaluation patient found to have UTI . 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 from noon associated with abdominal discomfort pain radiating to left arm & back with history of dyspnea on exertion. He is a known case of hypertension.

ACUTE PULMONARY EDEMA ASPIRATION PNEUMONIA SEPSIS OLD AWMI S/P PTCA (2016 Coimbator`e) ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION POST COVID SEQUALAE ACUTE KIDNEY INJURY SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS HYPOTHYROIDISM (Newly detected)

Patient was admitted with the complaints of breathlessness acute onset progressive in nature. She is a known case of hypertension and diabetes mellitus. She was stabilized on oxygen via NIV support. Patient symptomatically better shifted to room with oxygen support and intermittent portable NIV support. She developed breathlessness was shifted back to CCU and was stabilized with NIV support. 2 units of packed blood cells transfused series of x-rays done which shows Right lower zone consolidation. she was treated with IV antibiotics Antiplatelets statin bronchodilators diuretics IV Fluids along with other supportive measures. Nephrology consultation was taken and was managed accordingly. Poor prognosis explained to bystanders discharging patient AT REQUEST.

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

BILATERAL PNEUMONIA ACUTE RESPIRATORY FAILURE ACUTE CORONARY SYNDROME- NSTEMI LBBB ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYS FUNCTION MODERATE PAH CAG- TRIPLE VESSEL DISEASE (25/11/2023) ANEMIA POST COVID SEQUALAE AKI TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of breathlessness. He was stabilized under oxygen via NIV support. Pulmonologist consultation was done and managed accordingly. Blood investigation shows low Hb level which is corrected by two pint of packed cell RBC. CAG was done which shows triple vessel disease. Plan medical management. Post procedure period was uneventful. Other than that 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. He is a known case of a diabetes mellitus and hypertension.

ACUTE PULMONARY EDEMA LRTI ANEMIA ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION S/P PTCA CHRONIC KIDNEY DISEASE - STAGE V( on hemodialysis) CHOLELITHIASIS SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness acute onset. He was stabilized on oxygen via NIV support. Nephrologist consultation was done and managed accordingly under aseptic precautions right jugular catheter inserted. 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.

INTERMITTENT CHB (Transient)-Betablocker induced ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG- NORMAL CORONARIES (09/02/2022) DYSLIPIDEMIA SYSTEMIC HYPERTENSION (Recently diagnosed)

Patient was admitted with the complaints of giddiness since yesterday. She is a known case of hypertension. 2D ECHO shows Bradycardia during study No RWMA fair LV systolic function mild mitral regurgitation mild aortic regurgitation IVC normal in size and collapsing. CAG was done which shows normal coronaries. Post procedure period was uneventful. Other than that she 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 giddiness since yesterday. She is a known case of hypertension.

AF WITH FVR LARGE OSTIUM SECUNDUM ASD (LEFT TO RIGHT SHUNT) CONGENITAL HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION MODERATE MR TR SEVERE PAH RBBB HYPOTHYROIDSM

Patient was admitted with the complaints of breathing difficulty since 1 week. She is a known case of hypothyroidism. She was treated with Antiplatelets statin inj.cardarone 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 1 week. She is a known case of hypothyroidism.

ATRIAL FIBRILLATION ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MINOR CAD WITH SLOW FLOW (05/05/2021) HYPOTHYROIDISM

Patient was admitted with the complaints of excessive heart beat. She was treated with Antiplatelets statin 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 excessive heart beat. She is a known case of a hypothyroidism.

CENTRAL RETINAL ARTERY OCCLUSION HYPERTENSIVE EMERGENCY NORMAL LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of left eye blurred vision. CT brain shows no significant neuroparenchymal changes. 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 left eye blurred vision.

HYDROPHARYNGEAL MASS LBBB OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (11/02/2021) S/P PTCA WITH STENTING TO RCA (23/03/2021) BRONCHITIS ANEMIA POST COVID SEQUALAE SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of breathlessness acute onset. She is a known case of a DVD S/P PTCA to RCA (2021) hypertension. ENT consultation was done and managed accordingly. 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. She is a known case of a DVD S/P PTCA to RCA (2021) hypertension.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- TRIPLE VESSEL DISEASE (27/04/2023) PRIMARY PTCA WITH STENTING TO RCA (27/04/2023) & LAD (28/04/2023)

Patient was admitted with the complaints of chest discomfort. CAG was done which shows triple vessel disease. Hence PTCA with stenting to RCA & 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 discomfort.

UNSTABLE ANGINA OLD ANTERIOR WALL MI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE (30/01/2023) PTCA WITH STENTING TO OSTIOPROXIMAL - MID LAD (30/01/2023) THROMBOLYSIS done on 06/11/2019 TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of retrosternal chest pain. CAG was done which shows single vessel disease. Hence PTCA with stenting to ostioproximal 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 retrosternal chest pain. He is a known case of diabetes mellitus.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-LM+ TRIPLE VESSEL DISEASE (19/01/2023) SYSTEMIC HYPERTENSION PLAN : CABG

Patient was admitted with the complaints of chest pain radiating to back and left arm on exertion since 2 days. He is a known case of hypertension. CAG was done which shows LM+ Triple vessel disease. 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 radiating to back and left arm on exertion since 2 days. He is a known case of hypertension.

ACUTE CORONARY SYNDROME CORONARY ARTERY DISEASE ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- PTCA WITH STENTING TO URINARY TRACT INFECTION TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Post procedure period was uneventful. Other than that 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. He is a known case of a diabetes mellitus and hypertension.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MYOCARDIAL BRIDGING IN LAD (08/06/2020) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain sudden onset progressive in nature and history of dyspnea on exertion. CAG was done which shows myocardial bridging in LAD. Plan medical management. Post procedure period was uneventful. Other than that he was treated with bronchodilators 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 sudden onset progressive in nature and history of dyspnea on exertion. He is a known case of hypertension. PHYSICAL F90INDINGS On examination: Patient is conscious oriented and afebrile moderately built and nourished PR-90/mt BP-140/80mmHg SPO2: 98% in room air; No pallor/ pedal edema; CVS: S1 S2 heard JVP not elevated No Murmur; RS: Clear; Other Systems: NAD INVESTIGATIONS (Enclosed) ECHO (08/06/20) No RWMA Good LV systolic function Concentric LVH Mild Mitral regurgitation Mild tricuspid regurgitation Mild PAH IVC mildly dilated and collapsing. COURSE IN THE HOSPITAL Patient was admitted with the complaints of chest pain sudden onset progressive in nature and history of dyspnea on exertion. CAG was done which shows myocardial bridging in LAD. Plan medical management. Post procedure period was uneventful. Other than that he was treated with bronchodilators antiplatelets statin and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications. ADVICE ON DISCHARGE Tab. Clopilet A 150mg 0-1-0 Tab. Cytogard OD 60mg 1-0-0 Tab. Channel SR 90mg 1-0-0 Tab. ABphylline 100mg 1-0-1 Tab. Chymoral forte 1-1-1 x7days Tab. Hielen vita 1-0-0 Tab. Pantodac 40mg 1-0-0( before food) DIET Low Fat Low Salt diet as adviced. EXERCISE Activity in cardiac limits. FOLLOW UP Follow up on 5th day with RBS and Creatinine. Dr. Anoop Gopinath MD. DNB(Med) DM DNB(Cardio) Consultant Interventional Cardiologist

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE (Drug default) MODERATE LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (19/11/2022) PTCA WITH STENTING TO OSTIOPROXIMAL LAD (19/11/2022) S/P PTCA ( 4 years back- District Hospital) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain sudden onset associated with sweating and palpitation and history of dyspnea on exertion since 2 days. He is a known case of S/P PTCA (Drug default) & hypertension. He was stabilized on oxygen via NIV support. CAG was done which shows single vessel disease. Hence PTCA with stenting to ostioproximal 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 sudden onset associated with sweating and palpitation and history of dyspnea on exertion since 2 days. He is a known case of S/P PTCA & hypertension.

ACUTE CORONARY SYNDROME- NSTEMI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (07/07/2023) PTCA WITH STENTING TO MID RCA (07/07/2023)

Patient was admitted with the complaints of chest discomfort radiating to neck. CAG was done which shows double vessel disease. Hence PTCA with stenting to mid 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 chest discomfort radiating to neck.

COPD -ACUTE EXACERBATION ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION HYPOKALEMIA (Recovered) ANEMIA UNDER EVALUATION DEEP VEIN THROMBOSIS BPH

Patient was admitted with the complaints of breathlessness sudden onset progressive in nature since yesterday with history of cough with expectoration and constipation since 3 days. 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 sudden onset progressive in nature since yesterday with history of cough with expectoration and constipation since 3 days.

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (17/08/2023) PLAN : PTCA to LAD (CTO) OM1 & OM2

Patient was admitted with the complaints of retrosternal chest pain. CAG was done which shows Double vessel disease. Plan PTCA (to LAD(CTO) OM1 & OM2) /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 retrosternal chest pain.

OLD ANTERIOR WALL MI RESUSCITATED FROM CARDIAC ARREST ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- PATENT STENT IN LAD (03/01/2024) PRIMARY PTCA WITH STENTING TO LAD (07/10/2021) CAG- SINGLE VESSEL DISEASE (07/10/2021) POST COVID SEQUALAE

Patient was admitted with the complaints of chest pain associated with tiredness since one day. CAG was done which shows patent stent in LAD. 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 associated with tiredness since one day.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- MILD DISEASE (10/11/2022) S/P PTCA SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest pain radiating to lower jaw and left hand. She is a known case of S/P PTCA hypertension and diabetes mellitus. CAG was done which shows mild disease. Post procedure period was uneventful. Other than that she was treated with Antiplatelets statin 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 chest pain radiating to lower jaw and left hand. She is a known case of S/P PTCA hypertension and diabetes mellitus.

ATYPICAL CHEST PAIN NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of right side chest pain with history of numbness of left hand. on evaluation 2D ECHO shows normal & TMT is negative. He was treated with Analgesics Antacids 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 right side chest pain with history of numbness of left hand.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG-TRIPLE VESSEL DISEASE (26/04/2023) PRIMARY PTCA WITH STENTING TO RCA (26/04/2023) ELECTIVE PTCA WITH STENTING TO LCX & LAD (28/04/2023) CA -PAROTID SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of chest pain radiating to left arm & back associated with sweating and palpitation. She is a known case of diabetes mellitus and hypertension. CAG was done which shows triple vessel disease. Hence primary PTCA with stenting to RCA (26/04/2023). Elective PTCA to LCx & LAD (28/04/2023). 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 & back associated with sweating and palpitation. 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 (11/08/2023) PTCA WITH STENTING TO MID RCA(11/08/2023) SYSTEMIC HYPERTENSION Note : Left main evaluation later with IVUS

Patient was admitted with the complaints of chest discomfort since one week with history of palpitation. CAG was done which shows single vessel disease. Hence PTCA with stenting to mid 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 chest discomfort since one week with history of palpitation. He is a known case of hypertension.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- LAD- ANEURYSM WITH CLOT SLOW FLOW IN CORONARIES (07/09/2020)

Patient was admitted with the complaints of pain in right shoulder. 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 pain in right shoulder.

OLD INFERIOR WALL MI CORONARY ARTERY DISEASE MILD LV SYSTOLIC DYSFUNCTION S/P CABG-(20 years back) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of dyspnea on exertion grade II. He is a known case of S/P CABG diabetes mellitus and hypertension. CAG was done which shows LM+ triple vessel disease. Bypass graft only LIMA localized and patent grafts. 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 dyspnea on exertion grade II. He is a known case of S/P CABG diabetes mellitus and hypertension.

DENGUE FEVER WITH THROMBOCYTOPENIA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of fever since 2 days associated with cough since 2 days. 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 since 2 days associated with cough since 2 days. He is a known case of diabetes mellitus and hypertension.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE (25/09/2023)-Calcific CTO LAD (J -CTO score-3) PTCA WITH STENTING TO LAD (CTO) (27/09/2023) S/P PTCA (17 years back – outside)

Patient was admitted with the complaints of retrosternal chest pain radiating to left upper limb. CAG was done which shows single vessel disease. Hence PTCA with stenting to LAD. 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 retrosternal chest pain radiating to left upper limb.

PNEUMONIA POST COVID SEQUALAE ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION SEVERE CONCENTRIC LVH MILD AORTIC STENOSIS CHRONIC KIDNEY DISEASE SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of tiredness bodypain with history of fever. He is a known case of hypertension and diabetes mellitus. 2D ECHO shows No RWMA Fair LV systolic function severe concentric LVH mild mitral regurgitation trivial tricuspid regurgitation grade I LVDD mild AS IVC normal 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 tiredness body pain with history of fever. He is a known case of hypertension and diabetes mellitus.

UTERINE FIBROID UTERINE FIBROID EMBOLIZATION (05/01/2023) NORMAL LV SYSTOLIC FUNCTION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of oligomenorrhagia/ menorrhagia. Trans vaginal ultrasound shows bulky uterus with fibroid and thickened endometrium. Utrine fibroid embolization was done on (05/01/2023). Post procedure period was uneventful. Other than that she was treated with A tab gerbisa 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 oligomenorrhea/ menorrhagia. She is a known case of diabetes mellitus.

ATYPICAL CHEST PAIN NORMAL LV SYSTOLIC FUNCTION POST COVID SEQUALAE SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest discomfort since 2 days associated with body pain and unsteadiness gait. He is a known case of diabetes mellitus and hypertension. On evaluation 2D Echo shows No RWMA Normal LV systolic function trivial mitral regurgitation mild tricuspid regurgitation mild PAH grade I LVDD SAV mild aortic regurgitation IVC normal in size and collapsing. TMT is negative. 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 discomfort since 2 days associated with body pain and unsteadiness gait. she is a known case of hypertension.

BILATERAL PNEUMONIA ACUTE HEART FAILURE (HFrEF) ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION MODERATE PAH URINARY TRACT INFECTION SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of cough. Pulmonologist consultation was done and managed accordingly. 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 cough. She is a known case of a hypertension.

POST COVID SEQUALAE TMT POSITIVE : 15/07/2022 ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-ECTATIC CORONARIES (18/07/2022) TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of giddiness and unsteadiness gait and chest discomfort. He is a known case of diabetes mellitus. CAG was done which shows ectatic 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 and unsteadiness gait and chest discomfort. He is a known case of diabetes mellitus.

BELLS PALSY OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE(28/10/2022) PRIMARY PTCA WITH STENTING TO RCA (28/10/2022) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of deviation of angle of mouth to left and non closure of right upper lid. He is a known case of hypertension and diabetes mellitus. CT brain shows Age related neuroparenchymal atrophy with subcortical ischaemia. Neurologist 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 deviation of angle of mouth to left and non closure of right upper lid. She is a known case of hypertension and diabetes mellitus.

ACUTE CORONARY SYNDROME -NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE (26/12/2022) PTCA WITH STENTING TO RCA (26/12/2022) HYPER EOSINOPHELIA TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of retrosternal chest burning sensation with history of dyspnea on exertion grade III since 3 weeks. CAG wsa done which shows double vessel disease. Hence PTCA with stenting to 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 retrosternal chest burning sensation with history of dyspnea on exertion grade III since 3 weeks. He is a known case of diabetes mellitus.

DEEP VEIN THROMBOSIS LEFT LEG CELLULITIS ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION URINARY TRACT INFECTION POST COVID SEQUALAE SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of fever swelling on left leg since 3 days. She is a known case of diabetes mellitus and hypertension. 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 fever swelling on left leg since 3 days. She is a known case of diabetes mellitus and hypertension.

STABLE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- SLOW FLOW (13/12/2022)

Patient was admitted with the complaints of back pain radiating to left arm and back. CAG was done which shows slow flow. 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 back pain radiating to left arm and back.

POVD CORONARY ARTERY DISEASE NORMAL LV SYSTOLIC FUNCTION S/P CABG-(2015) PAG-PVD (21/04/2022) POBA TO RIGHT SFA grafted vein (28/04/2022) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the history of claudication pain grade III PAG shows right SFA totally occluded. He is a known case of S/P CABG POVD hypertension and diabetes mellitus. POBA to right SFA grafted vein 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 history of claudication pain grade III PAG shows right SFA totally occluded. He is a known case of S/P CABG POVD hypertension and diabetes mellitus.

VIRAL PNEUMONIA POST COVID SEQUALAE RBBB ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION URINARY TRACT INFECTION SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathing difficulty PND since 4 days progressively increase in nature and loss of appetite. He was stabilized on oxygen via NIV support. 2D ECHO shows RWMA(Akinetic apex mid septum and anterior wall is hypokinetic) moderate LV systolic dysfunction trivial mitral regurgitation trivial tricuspid regurgitation grade I LVDD IVC normal 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 breathing difficulty PND since 4 days progressively increase in nature and loss of appetite. He is a known case of hypertension and diabetes mellitus.

AF WITH FVR ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MINOR CAD(28/07/2021) SYSTEMIC HYPERTENSION

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

POST COVID SEQUALAE ACUTE CORONARY SYNDROME ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-(2016-outside-Advise CABG not done) ACUTE ON CHRONIC KIDNEY DISEASE SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of loose stools since 1 day multiple episodes associated with fever. USG abdomen shows Bilateral chronic renal parenchymal changes. 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 loose stools since 1 day multiple episodes associated with fever. He is a known case of hypertension and diabetes mellitus.

COPD ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION TYPE II DIABETES MELLITUS

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

UNSTABLE ANGINA ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (20/10/2023) TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain. 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 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 diabetes mellitus and hypertension.

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (29/11/2023) TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain retrosternal radiating to back of scapula . CAG was done which shows single vessel disease. PTCA was attempted to LAD but failed to enter lumen. 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 back of scapula . He is a known case of a diabetes mellitus and hypertension.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- TRIPLE VESSEL DISEASE (08/02/2022) PTCA WITH STENTING TO LAD & RAMUS (08/02/2022)

Patient was admitted with the complaints of chest pain sudden onset sudden onset radiating to left arm & back with history of dyspnea on exertion since one week . 2D ECHO shows No RWMA Normal LV systolic function concentric LVH trivial mitral regurgitation IVC normal in size and collapsing. CAG was done which shows Triple vessel disaese. Hence PTCA with stenting to LAD & RAMUS 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 sudden onset sudden onset radiating to left arm & back with history of dyspnea on exertion since one week .

ACUTE HEART FAILURE (HFrEF) ACUTE CORONARY SYNDROME-NSTEMI SEVERE LV SYSTOLIC DYSFUNCTION CAG-TRIPLE VESSEL DISEASE (18/04/2019) S/P PTCA WITH STENTING TO LAD (19/04/2019- District hospital) SYSTEMIC HYPERTENSION ACUTE ON CHRONIC KIDNEY DISEASE

Patient was admitted with the complaints of breathlessness acute onset. He is a known case of hypertension. USG abdomen shows Bilateral mild or early chronic renal parenchymal changes grade I prostatomegaly mild right pleural effusion. 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.

HYPERGLYCEMIA CHRONIC LIVER DISEASE NORMAL LV SYSTOLIC FUNCTION POST COVID SEQUALAE SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of tiredness since 3 days. He is a known case of diabetes mellitus and hypertension. He was treated with 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 3 days. He is a known case of diabetes mellitus and hypertension.

ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES (26/09/2022) POST COVID SEQUALAE

Patient was admitted with the complaints of chest discomfort since 2 days with history of dyspnea on exertion. CAG was done which shows normal coronaries. 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 since 2 days with history of dyspnea on exertion.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE (26/11/2021) PTCA WITH STENTING TO LAD MAJOR D1 & MAJOR OM1 (26/11/2021) TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest burning sensation acute onset. CAG was done which shows double vessel disease. Hence PTCA with stenting to LAD major D1 & major OM1 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 burning sensation acute onset. He is a known case of diabetes mellitus.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (20/12/2021) PRIMARY PTCA WITH STENTING TO MID RCA (20/12/2021)

Patient was admitted with the complaints of chest pain retrosternal radiating to left upper limb with excessive sweating and breathlessness. CAG was done which single vessel disease. Hence primary PTCA with stenting to mid RCA. 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 radiating to left upper limb with excessive sweating and breathlessness.

ACUTE CORONARY SYNDROME ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (10/07/2018) SYSTEMIC HYPERTENSION

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 hypertension and diabetes mellitus.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- MILD DISEASE(01/12/2022 ) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest pain. CAG was done which shows 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 . She is a known case of hypertension and diabetes mellitus.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG-TRIPLE VESSEL DISEASE (16/01/2023) TYPE II DIABETES MELLITUS PLAN : PTCA TO LM-LAD & RCA

Patient was admitted with the complaints of Chest pain intermitting. CAG was done which shows triple vessel disease. Plan PTCA to LM-LAD & RCA. 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 intermitting . He is a known case of diabetes mellitus.

ACUTE HEART FAILURE ( HFrEF) ACUTE PULMONARY EDEMA OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION CAG- TRIPLE VESSEL DISEASE (08/08/2019) S/P PTCA WITH STENTING TO LAD (23/08/2019) S/P POBA TO LCX (24/01/2018) HYPOTHYROIDISM ANEMIA UNDER EVALUATION SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of breathlessness acute onset. She was stabilized on oxygen via NIV support. 2D ECHO shows Global LV hypokinesia severe LV systolic dysfunction mild mitral regurgitation trivial tricuspid regurgitation IVC dilated 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 breathlessness acute onset. She is a known case of old IWMI diabetes mellitus and hypertension.

OLD PULMONARY TUBERCULOSIS COPD BRONCHIECTASIS ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of breathing difficulty. She is a known case of diabetes mellitus. 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. She is a known case of diabetes mellitus.

EVOLVED ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (13/04/2023) PTCA WITH STENTING TO LAD (13/04/2023) TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain since night associated with sweating and palpitation. CAG was done which shows single vessel disease. Hence PTCA with stenting to LAD. 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 since night associated with sweating and palpitation. She is a known case of diabetes mellitus and systemic hypertension.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- LM+ DOUBLE VESSEL DISEASE (30/05/2023) PTCA WITH STENTING TO LMCA – LAD (31/05/2023) ANEMIA UNDER EVALAUTION SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of retrosternal chest pain radiating to left upper limb. 2D ECHO shows No RWMA Normal LV systolic function trivial mitral regurgitation trivial tricuspid regurgitation grade I LVDD SAV trivial aortic regurgitation IVC normal in size and collapsing. CAG was done which shows LM+ Double vessel disease. Hence PTCA with LMCA- LAD. 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 retrosternal chest pain radiating to left upper limb. She is a known case of diabetes mellitus and hypertension.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-TRIPLE VESSEL DISEASE (30/12/2021) PTCA WITH STENTING TO ostio proximal RCA (30/12/2021) ostio proximal OM and proximal- mid LAD (01/01/2022)

Patient was admitted with the complaints of chest pain since today morning radiating to arm. CAG was done which shows triple vessel disease. Hence primary PTCA with stenting to ostio proximal RCA (30/12/21) ostio proximal OM (01/01/2022) and proximal- mid LAD was done. 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 pain since today morning radiating to arm.

ACUTE CHOLECYSTITIS OLD INFERIOR WALL MI ACUTE PULMONARY EDEMA ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION S/P PTCA WITH STENTING TO OM1 (1DES) (18/12/2021) & LAD ( 1DES) LCx ( 1 DES) (22/12/2021)- outside SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of retrosternal chest pain radiating to back of scapular in lumbar region. USG abdomen shows Thickened enhancing gall bladder walls with pericholecystic fat stranding. CT features suggestive of acute cholecystitis Sliding hiatal hernia Enlarged prostate. 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 retrosternal chest pain radiating to back of scapular in lumbar region. He is a known case of diabetes mellitus and hypertension.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- TRIPLE VESSEL DISEASE (02/10/2023) HYPOTHYROIDISM BPH SYSTEMIC HYPERTENSION PLAN : CABG/ MULTIVESSEL PCI with ROTA.

Patient was admitted for CAG with the complaints of numbness of left palm since one week.CAG was done which shows triple vessel disease. Plan CABG/ multivessel PCI with ROTA. 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 for CAG with the complaints of numbness of left palm since one week. He is a known case of hypothyroidism and hypertension.

ACUTE CHOLECYSTITIS ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION POST COVID SEQUALAE CYSTITIS BILATERAL RENAL CALCULI HYPOTHYROIDISM SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of lower abdominal pain & shortness of breath since 3 days . She is a known case of hypothyroidism diabetes mellitus and hypertension. CT abdomen shows Thickened gall bladder walls with intraluminal air and air fluid level pericholecystic edema reactive adjacent inflammatory changes. CT features suggestive of acute emphysematous cholecystitis Bilateral renal calcification possibly vascular. USG abdomen shows Bilateral renal calculi Grade I fatty liver Cystitis. Urologist and general surgeon 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 lower abdominal pain & shortness of breath since 3 days . She is a known case of hypothyroidism diabetes mellitus and hypertension.

ACUTE PULMONARY EDEMA ACUTE HEART FAILURE (HFrEF) ACUTE CORONARY SYNDROME - NSTEMI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION ( now improved to moderate LV systolic dysfunction) ANEMIA COPD CHRONIC KIDNEY DISEASE TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain acute onset. He is a known case of a diabetes mellitus and hypertension. He was stabilized under oxygen via NIV support. 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 acute onset. He is a known case of a diabetes mellitus and hypertension.

POST COVID SEQUALAE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of retrosternal chest pain. She 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 retrosternal chest pain.

ANEMIA UNDER EVALUATION URINARY TRACT INFECTION OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- DOUBLE VESSEL DISEASE (09/01/2023) S/P PTCA WITH STENTING TO MID LCX (14/01/2023) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of breathlessness and tiredness with history of high grade fever. Blood investigation shows low HB level which is corrected by 2 pint of packed cell RBC. He 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 breathlessness and tiredness with history of high grade fever. He is a known case of diabetes mellitus and hypertension.

URINARY TRACT INFECTION POST COVID SEQUALAE ISCHEMIC HEART DISEASE SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of nausea and vomiting. On evaluation patient found to have UTI. She was treated with Antiplatelets statin antiemetics 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 nausea and vomiting. She is a known case of diabetes mellitus.

HYPONATREMIA (Recovered) OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE (16/09/2021 ) S/P PTCA WITH STENTING TO RCA & LCX (16/09/2021) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

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

LEFT UPPER LOBE PNEUMONIA POST COVID SEQUALAE BRONCHIECTASIS ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of fever which was acute onset and progressive in nature. She was stabilized on oxygen via NIV support. Pulmonologist consultation was done and managed accordingly and bronchoscopy was done. 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 fever which was acute onset and progressive in nature. She is a known case of a hypertension.

POST COVID MYOCARDITIS URINARY TRACT INFECTION ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES(09/02/2022) TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of back pain since one day associated with sweating with history of dyspnea on exertion since 1 week. She is a known case of diabetes mellitus. 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 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 back pain since one day associated with sweating with history of dyspnea on exertion since 1 week. She is a known case of diabetes mellitus.

LRTI CHRONIC KIDNEY DISEASE ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION OLD CVA CYSTITIS URINARY TRACT INFECTION RIGHT RENAL CALCULI 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 stabilized on oxygen via NIV support. USG abdomen shows Bilateral chronic renal parenchymal changes right renal calculi Left renal simple cortical cyst Cystitis. Nephrologist 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 hypertension and diabetes mellitus.

EVOLVED ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (09/11/2021) PRIMARY PTCA WITH STENTING TO MID LAD (09/11/2021) TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest discomfort since 2 days associated with sweating & palpitation. She is a known case of diabetes mellitus. CAG was done which shows single vessel disease. Hence primary PTCA with stenting to mid LAD was done. Post procedure period was uneventful. Other than that 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 2 days associated with sweating & palpitation. She is a known case of diabetes mellitus.

ANEMIA OF CHRONIC DISEASE Stool Occult Blood : POSITIVE ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION DIABETIC NEPHROPATHY CHRONIC KIDNEY DISEASE SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest pain since yesterday and generalized tiredness. He is a known case of CKD hypertension and diabetes mellitus. Blood investigations shows low Hb level which is corrected by four pint of packed cell RBC. 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 since yesterday and generalized tiredness. He is a known case of CKD hypertension and diabetes mellitus.

ACUTE CORONARY SYNDROME ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CHRONIC KIDNEY DISEASE HYPOTHYROIDISM SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of dyspnea on exertion since 1 week progressive in nature no history of sweating and palpitation history of facial puffiness since 4 days . He is a known case of CKD hypertension 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 dyspnea on exertion since 1 week progressive in nature no history of sweating and palpitation history of facial puffiness since 4 days . He is a known case of CKD hypertension and diabetes mellitus.

STABLE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES (19/02/2022) SYSTEMIC HYPERTENSION

Patient was admitted for CAG with the complaints of chest pain intermittent and right eye vision impaired acute onset. He is a known case of hypertension. 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 for CAG with the complaints of chest pain intermittent and right eye vision impaired acute onset. He is a known case of hypertension.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (24/05/2023) PTCA – RCA (POBA) (24/05/2023) CAG- DOUBLE VESSEL DISEASE (04/02/2023) CAG- DOUBLE VESSEL DISEASE (02/12/2019) S/P PTCA WITH STENTING TO LCX (05/12/2019) POST COVID SEQUALAE SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of chest pain and dyspnea on exertion associated with sweating and palpitation.CAG was done which shows single vessel disease. Hence PTCA with stenting to RCA(POBA). Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin 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 chest pain and dyspnea on exertion associated with sweating and palpitation. He is a known case of diabetes mellitus and hypertension.

ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE (07/11/2022) PTCA WITH STENTING TO PROXIMAL-MID LAD (OVERLAPPING 2DES) (07/11/2022) COPD TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness. He is a known case of COPD and diabetes mellitus. USG abdomen shows Bilateral mild to moderate pleural effusions. CAG was done which shows single vessel disease. Hence PTCA with stenting to proximal-mid LAD (overlapping 2DES). 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 breathlessness. He is a known case of COPD and diabetes mellitus.

SVT CHOLELITHIASIS NORMAL LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of palpitation. She was treated with Antiplatelets statin inj. cordarone 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 palpitation.

ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION S/P PTCA (4 years back) URINARY TRACT INFECTION POST COVID STATUS CHOLELITHIASIS ACUTE ON CHRONIC KIDNEY DISEASE ? DIABETIC KETO ACIDOSIS SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of fever since one day associated with tiredness history of Orthopnea & PND patient suddenly collapsed at casualty and shifted to ICU in emergency. He is a known case of S/P PTCA (4 years) CKD hypertension and diabetes mellitus. Patient placed on mechanical ventilation. He was stabilized on oxygen via NIV support. Nephrologist 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 fever since one day associated with tiredness history of Orthopnea & PND patient suddenly collapsed at casualty and shifted to ICU in emergency. He is a known case of S/P PTCA (4 years) CKD hypertension and diabetes mellitus.

ACUTE ISCHEMIC STROKE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- MINOR CAD (28/12/2021) SYSTEMIC HYPERTENSION PLAN : DSA

Patient was admitted with the complaints of blurring of vision associated with tiredness lasting for 5 minutes. 2D Echo shows No RWMA Normal LV systolic function trivial tricuspid regurgitation grade I LVDD SAV IVC normal in size and collapsing. 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 blurring of vision associated with tiredness lasting for 5 minutes. He is a known case of hypertension.

CHRONIC LIVER DISEASE ASCITES OLD CVA ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of confusional state and altered sensation. He is a known case of hypertension and diabetes mellitus. USG abdomen was done which shows Moderate ascites Mild to moderate right pleural effusion. CECT abdomen shows Features suggestive of chronic hepatic parenchymal disease with dilated portal venous axis. Right sided chilaiditis syndrome Moderate ascites mild to moderate right pleural effusion No evidence of hepatic mass lesion. He was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient being referred to Dr Joseph (gastro enterologist) for further evaluation and management.

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

EVOLVED INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (11/04/2023) PRIMARY PTCA WITH STENTING TO MID RCA (11/04/2023)

Patient was admitted with the complaints of chest pain since 2 days associated with sweating radiating to back. CAG was done which shows single vessel disease. Hence PTCA with stenting to mid 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 chest pain since 2 days associated with sweating radiating to back.

COMPLETE HEART BLOCK ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of tiredness since evening . She was stabilized oxygen via NIV support. 2d echo shows RWMA( basal inferior wall is mildly hypokinetic) Fair LV systolic function mild mitral regurgitation trivial tricuspid regurgitation grade I LVDD trivial aortic regurgitation SAV Bradycardia noted during study. Patient need for PTCA and explain to bystanders but they are not willing to do procedure. 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 evening .

ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-TRIPLE VESSEL DISEASE (18/07/2022) PTCA WITH STENTING TO PROXIMAL RCA (18/07/2022) DYSLIPIDEMIA SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness since yesterday and excertional dyspnea grade II since 1 week. CAG was done which shows triple vessel disease. Hence PTCA with stenting to proximal RCA. 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 breathlessness since yesterday and excertional dyspnea grade II since 1 week. She is a known case of hypertension and diabetes mellitus.

POST COVID SEQUALAE (On CT thorax 18/12/21) ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest pain since morning associated with sweating. 2D ECHO shows No RWMA Normal LV systolic function concentric LVH trivial mitral regurgitation grade I LVDD IVC normal in size and collapsing. CT thorax shows Bilateral ground glass opacification and reticulation consistent with covid 19 lung changes. 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 since morning associated with sweating. He is a known case of hypertension and diabetes mellitus.

OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION ACUTE ON CHRONIC KIDNEY DISEASE HYPER EOSINOPHILIA POST COVID SEQUALAE TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

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

VIRAL PNEUMONIA ACUTE PULMONARY EDEMA OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-TRIPLE VESSEL DISEASE (24/05/2020) S/P PRIMARY PTCA WITH STENTING TO RCA (24/05/2020) & LCX (26/05/2020) HYPOTHYROIDISM ( newly detected) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of breathlessness acute onset. She was stabilized on oxygen via NIV support. Pulmonologist 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 breathlessness acute onset. She is a known case of diabetes mellitus and hypertension.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (23/06/2023) PRIMARY PTCA WITH STENTING TO RCA (23/06/2023) & MID LCX (24/06/2023)

Patient was admitted with the complaints of left side shoulder pain radiating to back. CAG was done which shows double vessel disease. Hence PRIMARY PTCA with stenting to RCA (23/06/2023) & MID LCX (24/06/2023). 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 left side shoulder pain radiating to back.

ACUTE FEBRILE ILLNESS RHEUMATIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of fever with chills. 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 fever with chills.

ACUTE INFERIOR WALL MI THROMBOLISED WITH INJ. STK ( outside) ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (11/05/2023) PTCA WITH STENTING TO RPDA (11/05/2023) POST COVID SEQUALAE SYSTEMIC HYPERTENSION Note : HBsAg - POSITIVE

Patient referred from Palana hospital post thrombolysed at 12:00pm with history of acidity discomfort since 4 days. CAG was done which shows single vessel disease. Hence PTCA with stenting to RPDA. 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 referred from Palana hospital post thrombolysed at 12:00pm with history of acidity discomfort since 4 days. He is a known case of hypertension.

STABLE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- NORMAL CORONARIES (08/04/2023) HYPOTHYROIDISM

Patient was admitted with the complaints of chest pain. 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 the complaints of chest pain. She is a known case of hypothyroidism.

CCF ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathing difficulty and exertional dyspnea. He is a known case of 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 breathing difficulty and exertional dyspnea. He is a known case of diabetes mellitus.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE(02/04/2022) S/P PTCA (2013 outside) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of retrosternal chest pain. He is a known case of hypertension and S/P PTCA. CAG was done which shows single vessel disease. Plan medical management/ PCI if symptomatic. 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. He is a known case of hypertension.

ACUTE PULMONARY EDEMA AF WITH FVR ISCHEMIC HEART DISEASE SEVERE CALCIFIC AORTIC STENOSIS SEVERE MR TR & PAH NORMAL LV SYSTOLIC FUNCTION COPD OLD CVA PARKINSONISM CHRONIC KIDNEY DISEASE H/O SEIZURE DISORDER

Patient was admitted with the complaints of breathlessness progressive in nature associated with cough with expectoration with history of B/L pedal edema. He is a known case of COPD & CKD. Nephrologist consultation was done and managed accordingly. HRCT lungs shows Bilateral basal segmental thickening /edema Moderate cardiomegaly with PAH Bilateral mild pleural effusions Bilateral lower lobe sub segmental atelectasis. 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 breathlessness progressive in nature associated with cough with expectoration with history of B/L pedal edema. He is a known case of COPD.

UPPER GI BLEED SEVERE ANEMIA STOOL OCCULT BLOOD : POSITIVE (04/02/2023) OLD INFERIOR WALL MI CORONARY ARTERY DISEASE NORMAL LV SYSTOLIC FUNCTION S/P CABG-(06/08/2021) S/P POBATO MID AND DISTAL RCA (21/07/2021) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of malena. He is a known case of S/P CABG CAD diabetes mellitus and hypertension. Blood investigation shows low Hb level which is corrected by seven pint of packed cell RBC. 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 malena. He is a known case of S/P CABG CAD diabetes mellitus and hypertension.

ACUTE CORONARY SYNDROME -NSTEMI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-TRIPLE VESSEL DISEASE (29/05/2023) PRIMARY PTCA WITH STENTING TO RAMUS OM & MID LAD (29/05/2023) TYPE II DIABETES MELLITUS (Newly detected)

Patient was admitted with the complaints of chest pain since evening associated with sweating palpitation and history of dyspnea on exertion since one week. CAG was don which shows triple vessel disease. Hence primary PTCA with stenting to OM RAMUS and mid LAD was done. 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 since evening associated with sweating palpitation and history of dyspnea on exertion since one week.

EFFORT ANGINA OLD NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- MILD DISEASE (15/09/2023) CAG- DOUBLE VESSEL DISEASE (22/06/2018) S/P PTCA WITH STENTING TO RCA (22/06/2018) & LAD (CTO) (25/06/2018) COPD ACUTE ON CHRONIC KIDNEY DISEASE SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain. He is a known case of COPD old NSTEMI S/P PTCA ( 2018) and hypertension. 2D ECHO shows No RWMA Normal LV systolic function mild mitral regurgitation trivial tricuspid regurgitation grade I LVDD SAV IVC normal in size and collapsing. CAG was done which shows mild disease. 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 chest pain. He is a known case of COPD old NSTEMI S/P PTCA ( 2018) and hypertension.

POST COVID STATUS (2 months back) STABLE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES (03/12/21) SYSTEMIC HYPERTENSION

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

HYPOGLYCEMIA LBBB RECENT ACUTE CORONARY SYNDROME-NSTEMI FAIR LV SYSTOLIC DYSFUNCTION CAG- DOUBLE VESSEL DISEASE (22/10/2022 ) S/P PTCA WITH STENTING TO DISTAL RCA & MID LAD ( 22/10/2022) LRTI OLD CVA SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of easily fatigable. She is a known case of old CVA diabetes mellitus and hypertension. On evaluation patient found to have hypoglycemia. 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 easily fatigable. She is a known case of old CVA diabetes mellitus and hypertension.

ATYPICAL CHEST PAIN NORMAL LV SYSTOLIC FUNCTION HYPOTHYROIDISM

Patient was admitted with the complaints of chest discomfort radiating to back. She is a known case of hypothyroidism. 2D ECHO shows No RWMA Normal LV systolic function trivial tricuspid regurgitation grade I LVDD IVC normal in size and collapsing. TMT is negative. 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 radiating to back. She is a known case of hypothyroidism.

SUPRA VENTRICULAR TACHYCARDIA RHEUMATIC HEART DISEASE SEVERE MITRAL STENOSIS MODERATE PAH NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of palpitation since morning not associated with sweating or central chest pain. 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 palpitation since morning not associated with sweating or central chest pain.

HOCM ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION S/P PTCA WITH STENTING TO RCA (2018) RECURRENT ANEMIA HYPONATREMIA URINARY TRACT INFECTION BILATERAL OBSTRUCTIVE UROPATHY B/L DJ STENTING DONE ON 09/05/2023 ACUTE ON CHRONIC KIDNEY DISEASE CHOLELITHIASIS SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of breathlessness sudden acute onset and abdominal distention since evening. She is a known case of diabetes mellitus and hypertension. Urologist consultation was done DJ stenting done (09/05/2023) and nephrologist consultation was done and managed accordingly. 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 breathlessness sudden acute onset and abdominal distention since evening. She is a known case of diabetes mellitus and hypertension.

HYPOGLYCEMIA ANEMIA ISCHEMIC HEART DISEASE CHRONIC KIDNEY DISEASE SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of Hypoglycemia. He is a known case of CKD hypertension and diabetes mellitus. on evaluation patient found to have hypoglycemia. 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 Hypoglycemia. He is a known case of CKD hypertension and diabetes mellitus.