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ANEMIA STOOL OCCULT BLOOD : POSITIVE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- DOUBLE VESSEL DISEASE(26/12/2022) PTCA WITH STENTING TO PROXIMAL LCX & PROXIMAL RCA (26/12/2022) S/P PTCA WITH STENTING TO RCA & LAD (2019) ACUTE CHRONIC KIDNEY DISEASE ALCOHOL DEPENDENCE SYNDROME PYELONEPHRITIS SEPSIS DYSLIPIDEMIA SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of tiredness since 2days with history of cough with expectoration and loss of appetite since 2 days. Blood investigation shows low Hb level which is corrected by five pint of packed cell RBC. CAG was done which shows double vessel disease. Hence PTCA with stenting to proximal LCX & 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 tiredness since 2days with history of cough with expectoration and loss of appetite since 2 days. He is a known case of hypertension.

LRTI OLD ANTERIOR WALL MI CORONARY ARTERY DISEASE SEVERE LV SYSTOLIC DYSFUNCTION MODERATE MR TR & PAH S/P CABG- (4years back) ACUTE KIDNEY INJURY ANEMIA SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness acute onset. He is a known case of CAD S/P CABG hypertension and diabetes mellitus. He was stabilized on oxygen via NIV support. 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 CAD S/P CABG hypertension and diabetes mellitus.

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (13/06/2022) TYPE II DIABETES MELLITUS (Newly detected)

Patient was admitted for CAG and came for fitness for surgery with the complaints of pain and swelling around right neck since 2 weeks on evaluation TMT is positive. CAG was done which shows double vessel disease. 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 for CAG and came for fitness for surgery with the complaints of pain and swelling around right neck since 2 weeks on evaluation TMT is positive.

CONGESTIVE CARDIAC FAILURE ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION MODERATE TR & PAH COPD COR PULMONALE ACUTE KIDNEY INJURY HYPONATREMIA (Recovered) BPH TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathing difficulty since 1 week. He is a known case of COPD and diabetes mellitus. 2D ECHO shows RWMA(All segments are hypokinetic except inferior wall) severe LV systolic dysfunction mild mitral regurgitation moderate tricuspid regurgitation moderate PAH grade II LVDD mild aortic regurgitation. Urologist & 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 breathing difficulty since 1 week. He is a known case of COPD and diabetes mellitus.

AF WITH FVR ACUTE HEART FAILURE RHEUMATIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION MILD MITRAL STENOSIS with MODERATE MR MODERATE TR (Tricuspid valve prolapsed)

Patient was admitted with the complaints of breathlessness acute onset. 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 breathlessness acute onset.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG-TRIPLE VESSEL DISEASE (24/06/2022) PTCA WITH STENTING TO proximal-Distal RCA (Overlapping 2DES) (24/06/2022) mid LCx (CTO) & Proximal –distal LAD (27/06/2022)

Patient was admitted with the history of loss of consciousness for 10 minutes associated with sweating. CAG was done which shows triple vessel disease. Hence PTCA with stenting to proximal-Distal RCA (Overlapping 2DES) (24/06/2022) mid LCx (CTO) & Proximal –distal LAD (27/06/2022). 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 history of loss of consciousness for 10 minutes associated with sweating.

CELLULITIS ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-peripheral SFA Stenosis Left dorsalis pedis stenosis (12/11/2023-At DAYA hospital) PTA WITH STENTING TO RIGHT SFA (21/11/2023) & LEFT SFA (22/11/2023)

Patient was admitted with the complaints of pain on the calf. He is a known case of a diabetes mellitus and hypertension. PAG shows peripheral SFA Stenosis Left dorsalis pedis stenosis (12/11/2023-At DAYA hospital). Hence PTA with stenting to right SFA (21/11/23) & PTA to left SFA (22/1/23). 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 pain on the calf.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MILD DISEASE (13/12/2021)

Patient was admitted with the complaints of retrosternal chest pain radiating to left upper limb since yesterday. CAG shows mild disease. 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 retrosternal chest pain radiating to left upper limb since yesterday.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- DOUBLE VESSEL DISEASE(10/08/2023) PTCA WITH STENTING TO PROXIMAL RCA & PROXIMAL LAD(12/08/2023) HYPOTHYROIDISM SYSTEMIC HYPERTENSION

Patient was admitted for elective PTCA. CAG was done which shows double vessel disease. Hence PTCA with stenting to proximal 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 for elective PTCA. She is a known case of hypothyroidism and hypertension.

ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES (11/05/2022) SYSTEMIC HYPERTENSION HYPOTHYROIDISM

Patient was admitted with the complaints of syncope with sweating. He is a known case of hypertension and hypothyroidism. CAG was done which shows normal coronaries. 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 syncope with sweating. He is a known case of hypertension and hypothyroidism.

POLYCYTHEMIA NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of abdominal pain since today. 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 abdominal pain since today.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-LM+SINGLE VESSEL DISEASE (08/08/2023) SYSTEMIC HYPERTENSION PLAN : CABG+ Multivessel PCI

Patient was admitted with the complaints of retrosternal chest pain. He is a known case of hypertension. CAG was done which shows LM+ single vessel disease. 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 retrosternal chest pain. He is a known case of hypertension.

ACUTE CORONARY SYNDROME-NSTEMI ( DRUG DEFAULT) PSYCHOTROPIC ADDICTION RBBB ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- LM+ SINGLE VESSEL DISEASE (04/02/2023) PTCA WITH STENTING TO LM – PROXIMAL LCX (04/02/2023) POBA TO MID LAD (04/02/2023) CAROTID ANGIOGRAM : MILD DISEASE (28/06/2022) CAG- TRIPLE VESSEL DISEASE (28/06/2022) POBA TO OSTIOPROXIMAL LCX & PROXIMAL- MID LAD (IN STENT THROMBUS) (31/10/2022) OLD CVA TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of retrosternal chest pain since 3 days. He is a known case of old CVA S/P POBA- LCX & LAD (in stent thrombus -31/10/2022) diabetes mellitus. CAG was done which shows LM+ single vessel disease. Hence PTCA with stenting to proximal LCX & POBA 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 retrosternal chest pain since 3 days. He is a known case of old CVA S/P POBA- LCX & LAD (in stent thrombus -31/10/2022) diabetes mellitus

MICROVASCULAR ANGINA NORMAL LV SYSTOLIC FUNCTION CAG- NORMAL CORONARIES (13/12/2023) HYPOTHYROIDISM

Patient was admitted with the complaints of dyspnea on exertion grade II . She is a known case of a hypothyroidism. 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 dyspnea on exertion grade II . She is a known case of a hypothyroidism.

PANCREATIC TAIL MASS ? ACUTE PANCREATITS NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of abdominal discomfort. CT abdomen shows Pancreatic tail mass ?acute focal pancreatitis of the pancreatic tail Minimal ascites Diffuse fatty infiltration. 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 abdominal discomfort.

ANEMIA UNDER EVALUATION ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of chest pain non radiating not associated with dyspnea on exertion. Blood investigation shows low Hb level which is corrected by 2 pint of packed cell RBC. She was treated with Antiplatelets 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 non radiating not associated with dyspnea on exertion.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- TRIPLE VESSEL DISEASE (19/08/2023) SYSTEMIC HYPERTENSION PLAN : PTCA to LAD with rotablation

Patient was admitted with the complaints of dyspnea on exertion grade II and effort angina. CAG was done which shows triple vessel disease. Plan PTCA to LAD with rotablation. 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 dyspnea on exertion grade II and effort angina. She is a known case of hypertension.

OLD INFERIOR WALL MI CORONARY ARTERY DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- LM- TRIPLE VESSEL DISEASE total occlusion of RCA graft patent grafts in LIMA- LAD &SVG- OM (10/10/2023) S/P CABG( 15 years back)

Patient was admitted with the complaints of chest pain since 2 days. CAG was done which shows LM- triple vessel disease ( total occlusion of RCA graft patent grafts in LIMA- LAD &SVG- OM). 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 chest pain since 2 days.

FIXED PULMONARY ARTERIAL HYPERTENSION FUNGAL BALL (INVASIV ASPERGILLOS) RV FAILURE

Patient was admitted with the complaints of haemopyysis. 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. HR CT LUNGS THORAX (12/08/22) Sections through the upper abdomen show mild ascites

Patient was admitted with the complaints of haemopyysis.

EFFORT ANGINA OLD INFERIOER WALL MI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- DOUBLE VESSEL DISEASE (22/03/2023) CAG- TRIPLE VESSEL DISEASE (2021- at Lakshmi hospital ) S/P CULPRIT PTCA WITH STENTING TO RCA (28/12/2021) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of excertional chest pain. CAG was done which shows double vessel disease. Plan medical management. 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 excertional chest pain. He is a known case of hypertension.

HYPOGLYCEMIA ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION MILD PERICARDIAL EFFUSION CAG-SINGLE VESSEL DISEASE (31/12/2022) PTCA WITH STENTING TO PROXIMAL- MID LAD (02/01/2023) HYPOKALEMIA SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of tiredness & loss of consciousness since evening. She is a known case of diabetes mellitus. on evaluation patient found to have hypoglycemia. 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 & loss of consciousness since evening. She is a known case of diabetes mellitus.

BILATERAL PNEUMONIA ACUTE CORONARY SYNDROME- NSTEMI OLD INFERIOR WALL MI MODERATE LV SYSTOLIC DYSFUNCTION CAG- TRIPLE VESSEL DISEASE (06/02/2024) PTCA WITH STENTING TO RAMUS & LAD (06/02/22024) CAG- DOUBLE VESSEL DISEASE(07/01/2018) S/P PTCA WITH STENTING TO RCA(09/02/2018) POST COVID SEQUALAE TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of chest pain acute onset and progressive in nature associated with breathlessness. He is a known case of old IWMI S/P PTCA to RCA (2018) diabetes mellitus. CAG was done which shows double vessel disease . Hence PTCA with stenting to LAD & RAMUS. Post procedure period was uneventful. CT thorax shows Bilateral ground glass opacification consolidation and reticulation? Due to covid 19 lung changes Trivial bilateral pleural effusions Cardiomegaly with CAD PAH. 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 chest pain acute onset and progressive in nature associated with breathlessness. He is a known case of old IWMI S/P PTCA to RCA (2018) diabetes mellitus.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE (31/08/2023) PTCA WITH STENTING TO RPDA(31/08/2023) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain and abdominal discomfort. 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 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 and abdominal discomfort.

MICROVASCULAR ANGINA NORMAL LV SYSTOLIC FUNCTION CAG-MYOCARDIAL BRIDGE IN LAD (22/11/2023) TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

CAG was done which shows myocardial bridge. 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 retro sternal .

INFERIOR WALL MI RECENT ACUTE CORONARY SYNDROME ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION S/P PTCA WITH STENTING TO RCA (08/11/2022-Outside) ACUTE KIDNEY INJURY HYPOTHYROIDISM SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness sudden onset progressive in nature associated with cough with history of swelling in left hand. He is a known case of S/P PTCA hypothyroidism 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 breathlessness sudden onset progressive in nature associated with cough with history of swelling in left hand. He is a known case of S/P PTCA hypothyroidism hypertension and diabetes mellitus.

ACUTE HEART FAILURE (HFrEF) CORONARY ARTERY DISEASE MODERATE LV SYSTOLIC DYSFUNCTION S/P CABG (2014) H/o SVT OLD CVA COPD HYPOTHYROIDISM SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

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

TAO ? VASCULITIS OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION SEVERE CALCIFIC AORTIC STENOSIS PAG- POVD (16/03/2023) CAG- SINGLE VESSEL DISEASE (07/12/2021) S/P PTCA WITH STENTING TO DISTAL RCA (07/12/2021) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of claudication pain right lower limb grade II. PAG was done which shows POVD. 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 claudication pain right lower limb grade II. She is a known case of diabetes mellitus and hypertension.

POST COVID SEQUALAE OLD ANTERIOR WALL MI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE (04/04/2020) PTCA WITH STENTING TO LAD (04/04/2020) PTCA WITH STENTING TO LCX (03/09/2020) TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of fever since yesterday and easily fatigable. He is a known case of diabetes mellitus. CT thorax shows Scattered bilateral reticular opacities probably due to mild post covid 19 lung changes. 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 fever since yesterday and easily fatigable. He is a known case of diabetes mellitus.

ACUTE CORONARY SYNDROME - NSTEMI ACUTE HEAERT FAILURE ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION SYSTEMIC HYPERTENSION HYPOTHYROIDISM

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

ACUTE ANTERIOR WALL MI RECENT ACUTE CORONARY SYNDROME ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-TRIPLE VESSEL DISEASE (13/06/2022) CHRONIC KIDNEY DISEASE-STAGE IIDYSLIPIDEMIA SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of dyspnea on exertion since 1 week. He is a known case of hypertension and diabetes mellitus. 2D ECHO shows RWMA(Apex is hypokinetic) mild LV systolic dysfunction mild tricuspid regurgitation mild PAH grade I LVDD IVC normal in size and collapsing. CAG was done which shows triple vessel disease. Plan CABG. 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 referring the patient to Dr. Harilal V Nambiar (Cardio thoracic surgeon) for early CABG.

Patient was admitted with the complaints of dyspnea on exertion since 1 week. He is a known case of CKD hypertension and diabetes mellitus.

ACUTE CORONARY SYNDROME ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE (08/08/2022) PTCA WITH STENTING TO OSTIOPROXIMAL LAD MID LCX-OM (08/08/2022) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

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

ACUTE FEBRILE ILLNESS ANTERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- DOUBLE VESSEL DISEASE (23/08/2022) S/P PTCA WITH STENTING TO PROXIMAL LAD & OSTIO PROXIMAL RCA (23/08/2022) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of fever since 3 days. He is a known case of hypertension and diabetes mellitus. 2D ECHO shows RWMA(Hypokinetic distal septum mid & distal anterior wall) mild LV systolic dysfunction mild 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 fever since 3 days. He is a known case of hypertension and diabetes mellitus.

ACUTE DIARRHEAL DISEASE ANTERIOR WALL MI (DELAYED PRESENTATION) ACUTE PULMONARY EDEMA ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION

Patient was admitted with the complaints of loose stool episode. 2D ECHO shows RWMA( Apex entire septum mid anterior wall is hypokinetic) severe LV systolic dysfunction trivial mitral regurgitation trivial tricuspid regurgitation grade I LVDD IVC normal in size and collapsing. USG abdomen shows No significant sonologically detectable abnormalities in the present study. 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 loose stool episode.

MYOCARDITIS ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION CAG-MILD DISEASE (10/03/2023) POST COVID SEQUALAE HYPOTHYROIDISM (Newly detected) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of breathlessness acute onset. She is a known case of diabetes mellitus and hypertension. 2D ECHO shows Global LV hypokinesia severe LV systolic dysfunction mild mitral regurgitation trivial tricuspid regurgitation grade II LVDD SAV IVC normal in size and collapsing. 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 breathlessness acute onset. She is a known case of diabetes mellitus and hypertension.

ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-RECANALISED D1(23/05/2022)

Patient was admitted with the complaints of chest pain retrosternal radiating to left upper limb since today evening. CAG was done which shows recanalised D1 . 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 chest pain retrosternal radiating to left upper limb since today evening.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- NORMAL CORONARIES (29/06/2023)

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

COMPLETE HEART BLOCK (Intermittent)-Symptomatic NORMAL LV SYSTOLIC FUNCTION HYPONATREMIA SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of tiredness syncope and giddiness since two days. 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 tiredness syncope and giddiness since two days. He is a known case of hypertension.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-LM+DOUBLE VESSEL DISEASE (16/08/2023)

Patient was admitted with the complaints of chest discomfort acute onset. CAG was done which shows LM+ Double vessel disease. 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 acute onset.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE (05/07/2022) PTCA WITH STENTING TO PROXIMAL-MID LAD & MID LCX (05/07/2022)

Patient presented at OPD on evaluation TMT is positive. CAG was done which shows Double vessel disease. Hence PTCA with stenting to PROXIMAL-MID LAD & MID LCX 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 presented at OPD on evaluation TMT is positive.

TO RULE OUT PULMONARY TB LRTI OLD NSTEMI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION MODERATE PAH CAG-DOUBLE VESSEL DISEASE (18/04/2022) S/P PTCA WITH STENTING TO OSTIO PROXIMAL LCX (18/04/2022) S/P PTCA (2016-Outside) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of cough with expectoration and dyspnea on exertion. He is a known case of S/P PTCA hypertension and diabetes mellitus. HRCT lungs shows Mild scattered bilateral basal segment micronodular ground glass opacification associated with tree in bud opacities suggestive of pulmonary KOCHS Sub segmental peribronchial consolidation left inferior lingular segment Mediastinal lymphadenopathy. 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 cough with expectoration and dyspnea on exertion. He is a known case of S/P PTCA hypertension and diabetes mellitus.

RHEUMATIC HEART DISEASE SEVERE ECCENTRIC JET OF AORTIC REGURGITATION MODERATE MITRAL STENOSIS SEVERE PAH NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES (07/09/2023) PLAN : AVR

Patient was admitted for CAG. He is a known case of RHD with severe AR. CAG was done which shows normal coronaries. 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 being referred to Dr. Varma for early AVR.

Patient was admitted for CAG. He is a known case of RHD with severe AR.

URINARY TRACT INFECTION CELLULITIS -RIGHT LOWER LIMB COR PULMONALE ANEMIA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION OSTEOARTHRITIS ANEMIA SEVERE COPD SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

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

RBBB ACUTE DIARRHEAL DISEASE NORMAL LV SYSTOLIC FUNCTION HYPOTHYROIDISM

Patient was admitted with the complaints of multiple episodes of loose stools associated with nausea and vomiting. She was treated with 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 multiple episodes of loose stools associated with nausea and vomiting.

POST COVID SEQUALAE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MILD DISEASE (11/04/2022) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of abdominal pain since 3 days associated with nausea & vomiting with history of hip pain. 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 abdominal pain since 3 days associated with nausea & vomiting with history of hip pain. She is a known case of hypertension.

COPD ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION URINARY TRACT INFECTION SYSTEMIC HYPERTENSION HYPOTHYROIDISM

Patient was admitted with the complaints of breathlessness since evening following inhalation of smoke. She is a known case of hypertension and hypothyroidism. 2D ECHO shows No significant RWMA fair LV systolic function LA dilated severe concentric LVH trivial mitral regurgitation mild tricuspid regurgitation mild PAH SAV IVC normal in size and collapsing. She was stabilized on oxygen via NIV support. 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 evening following inhalation of smoke. She is a known case of hypertension and hypothyroidism.

STABLE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- NORMAL CORONARIES (16/10/2023) SYSTEMIC HYPERTENSION

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

ACUTE CORONARY SYNDROME- NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (17/11/2021) PRIMARY PTCA WITH STENTING TO MID LCx (17/11/2021)

Patient was admitted with the complaints of dyspnea on exertion since 5 days associated with chest discomfort. 2D ECHO shows No RWMA Normal LV systolic function trivial mitral regurgitation trivial tricuspid regurgitation concentric LVH IVC normal in size and collapsing. CAG was done which shows single vessel disease. Hence primary PTCA with stenting to mid LCx 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 dyspnea on exertion since 5 days associated with chest discomfort.

URINARY TRACT INFECTION ISCHEMIC HEART DISEASE CAG- (2 years back) NORMAL LV SYSTOLIC FUNCTION POST COVID SEQUALAE

Patient was admitted with the complaints of fever since 2 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 fever since 2 days. She is a known case of a hypertension.

POST COVID SEQULALAE AF WITH FVR TMT : INCONCLUSIVE (20/06/2022) ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION HYPOTHYROIDISM SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of giddiness and unsteadiness since today morning. She is a known case of hypertension. 2D ECHO shows No RWMA fair LV systolic function trivial tricuspid regurgitation grade I LVDD trivial aortic regurgitation Patient on bradycardia IVC normal in size and collapsing. TMT is inconclusive. 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 giddiness and unsteadiness since today morning. She is a known case of hypertension.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-TRIPPLE VESSEL DISEASE PTCA WITH STENTING TO OM & PROXIMAL RCA

Patient was a case of hypertension complaints of chest pain radiating to left arm and back associated with sweating and palpitations. CAG was done which shows Tripple vessel disease. PTCA stenting to OM and PTCA TO Proximal RCA done. 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 complaints of chest pain radiating to left arm and back associated with sweating and palpitations.

PSEUDO ANEURYSM OF THE RIGHT RADIAL ARTERY RECENT ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MILD DISEASE (28/02/2022) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of Pain & swelling in right hand. He is a known case of hypertension. 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 Pain & swelling in right hand. He is a known case of hypertension.

HYPOGLYCEMIA ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION S/ P PTCA WITH STENTING TO LAD & LCX (30/09/2016) HYPONATREMIA (recovered) ACUTE ON CHRONIC KIDNEY DISEASE OLD CVA SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

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

ACUTE BRONCHITIS HYPONATREMIA( Recovered) RBBB ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

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

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE (28/06/2023) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain tiredness and exertional dyspnea. CAG was done which shows single vessel disease. Plan medical management. 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 tiredness and exertional dyspnea. She is a known case of hypertension.

ISCHEMIC HEART DISEASE SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS POST COVID SEQUALE ACUTE ISCHEMIC SMALL BOWEL DISEASE PORTAL AND SUPERIOR MESENTRIC VENOUS THROMBOSIS.

Patient was admitted with the complaints of abdominal pain since 3 days progress in nature. She is a known case of diabetes mellitus. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Cross consultation done with Dr Ajay general surgeon. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of abdominal pain since 3 days progress in nature. She is a known case of diabetes mellitus.

LRTI POST COVID SEQUALAE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION SEVERE PAH SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of dyspnea on exertion tiredness and chest pain. 2D Echo shows No RWMA Normal LV systolic function mild mitral regurgitation mild tricuspid regurgitation severe PAH grade I LVDD SAV trivial aortic regurgitation Thin rim of pericardial effusion noted 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 dyspnea on exertion tiredness and chest pain. She is a known case of diabetes mellitus and hypertension.

UNSTABLE ANGINA( Need to rule out clot in coronaries) ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION LEFT PLEURITIC PAIN ALCOHOLIC INTOXICATION

Patient was admitted with the complaints of left sided chest pain. Advised CAG but patient not willing to do procedure. He was treated with Antiplatelets 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 sided chest pain.

VIRAL PNEUMONIA LRTI LEFT PNEUMOTHORAX ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION ACUTE RESPIRATORY FAILURE

Patient was admitted with the complaints of cough with expectoration since 4 days and breathlessness since two days. She was stabilized on oxygen via NIV support. CT Thorax shows Moderate left pneumothorax with collapse consolidation of the left lower lobe. Right upper lower lobe reticulation and ground glass opacification suggestive of a viral pneumonia. General surgeon and Pulmonologist consultation was done and ICD done under aseptic precautions. 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 cough with expectoration since 4 days and breathlessness since two days.

LBBB RENAL ARTERY STENOSIS ACUTE HEART FAILURE( HFrEF) ACUTE PULMONARY EDEMA ACUTE CORONARY SYNDROME - NSTEMI 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 LRTI SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of easily fatigable. He was stabilized on oxygen via NIV support. Blood investigation shows low HB level which is corrected by 3 pint of packed cell RBC. Urologist general surgeon pulmonologist and nephrologist consultation was done manage accordingly. On evaluation patient found to have hyponatremia and UTI. 2D ECHO shows RWMA( akinetic apex mid septum and mid anterior wall hypokinetic inferior and posterior walls in the mid and basal regions) moderate LV systolic dysfunction moderate mitral regurgitation mild tricuspid regurgitation Severe PAH. 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 easily fatigable. He is a known case of CKD and hypertension.

ACUTE HEART FAILURE (HFrEF) ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION HYPOKALEMIA ACUTE KIDNEY INJURY TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of dyspnea on exertion associated with orthopnea and PND with history of pedal edema progressive in nature. He is a known case of diabetes mellitus. 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 dyspnea on exertion associated with orthopnea and PND with history of pedal edema progressive in nature. He is a known case of diabetes mellitus.

RESOLVING MYOCARDITIS ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG-MILD DISEASE (18/03/2022)

Patient was admitted with the complaints of chest pain radiating to left arm and back. CAG was done which shows mild disease. 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 radiating to left arm and back.

TRUENAT POSITIVE (09/09/2022) ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MINOR CAD (08/03/2022) S/P ASD CLOSSURE (2004) SYSTEMIC HYPERTENSION HYPOTHYROIDIM

Patient was admitted with the complaints of febrile nausea chills & rigor. She is a known case of hypertension and hypothyroidism. USG abdomen shows Mild right hydronephrosis ? cause Grade I fatty liver Post hysterectomy status. She was treated with Antiplatelets 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 febrile nausea chills & rigor. She is a known case of hypertension and hypothyroidism.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MILD DISEASE (02/04/2022) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of dyspnea on exertion. 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 dyspnea on exertion. she is a known case of hypertension.

RBBB ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MINOR DISEASE (11/10/2023) TYPE II DIABETES MELLITUS ( newly detected)

Patient was admitted with the complaints of chest pain with history of sweating CAG was done which shows minor disease. 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 chest pain with history of sweating .

CHOLELITHIASIS MYOCARDITIS ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION ACUTE ON CHRONIC KIDNEY DISEASE TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of abdominal pain. CT abdomen shows Likely cholelithiasis Likely fatty infiltration of pancreas Suggested clinical correlation. 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 abdominal pain. He is a known case of a diabetes mellitus.

ANTERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-TRIPLE VESSEL DISEASE (02/01/2017 outside) PTCA WITH STENTING TO OSTIO PROXIMAL LCX OSTIO PROXIMAL LAD (CTO) AND OSTIO PROXIMAL RCA – DISTAL RCA (overlapping 2 DES). URINARY TRACT INFECTION BPH CYSTITIS SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted for PTCA. He is a known case of old ischemic heart disease CAG (2016 at GH pkd) hypertension and diabetes mellitus. Hence PTCA with stenting to ostio proximal LCx ostio proximal LAD (CTO) and ostio proximal RCA – distal RCA (overlapping 2 DES). Post procedure period was uneventful. Urologist consultation was done and managed accordingly. 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 for PTCA. He is a known case of old ischemic heart disease CAG (2017 at GH pkd) hypertension and diabetes mellitus.

LBBB ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE(12/02/2024) TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain retrosternal radiating to left upper limb and dyspnea on exertion grade II. CAG was done which shows single vessel 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 chest pain retrosternal radiating to left upper limb and dyspnea on exertion grade II. She is a known case of a diabetes mellitus and hypertension.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- NORMAL CORONARIES (27/02/2023) CAG-MINOR CAD ((2019) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of retrosternal chest pain radiating to left upper limb. She is a known case of diabetes mellitus. CAG was done which shows normal coronaries. 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 retrosternal chest pain radiating to left upper limb. She is a known case of diabetes mellitus.

ACUTE PULMONARY EDEMA LBBB CORONARY ARTERY DISEASE POST MI VSD with Left to Right shunt SEVERE LV SYSTOLIC DYSFUNCTION S/P CABG-(2017) HYPONATREMIA HYPOKALEMIA BRONCHIECTASIS SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of dyspnea on exertion since 5 days with history of Orthopnea since 2 days and PND(+) . He is a known case of S/P CABG hypertension and diabetes mellitus. He was stabilized on oxygen via NIV support. 2D ECHO shows Post MI VSD with left to right shunt RWMA(Akinetic mid septum and mid anterior wall) severe LV systolic dysfunction mild mitral regurgitation mild tricuspid regurgitation. 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 5 days with history of Orthopnea since 2 days and PND(+) . He is a known case of S/P CABG hypertension and diabetes mellitus.

COPD POST COVID SEQUALAE OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION ACUTE KIDNEY INJURY SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of decreased urine output since noon. She is a known case of AKI hypertension and diabetes mellitus. 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 decreased urine output since noon. She is a known case of AKI hypertension and diabetes mellitus.

ANEMIA WITH GI BLEED RECENT ACUTE CORONARY SYNDROME-NSTEMI VALVULAR HEART DISEASE BICUSPID AORTIC VALVE SEVERE LV SYSTOLIC DYSFUNCTION SEVERE MR SEVERE TR PAH & AR SEPSIS NON HEALING VERICOSE VEIN

Patient was admitted with the complaints of breathlessness since 2 days and dyspnea on exertion since 1 days and PND+. Blood investigations shows low Hb level which is corrected by two pint of packed cell RBC. Podiatric & dermatology 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 since 2 days and dyspnea on exertion since 1 days and PND+.

EFFORT ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (01/03/2022) PLAN : PTCA TO LAD S/P CAG-MINOR CAD (12/07/2017)

Patient was admitted with the complaints of dyspnea on exertion since 1 week. 2D ECHO shows No RWMA Normal LV systolic function trivial mitral regurgitation trivial tricuspid regurgitation grade I LVDD IVC normal in size and collapsing. CAG was done which shows single vessel disease. Plan PTCA 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 dyspnea on exertion since 1 week.

BILATERAL VIRAL PNEUMONIA ACUTE CORONARY SYNDROME- NSTEMI OLD ANTERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION BRONCHIECTASIS

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

ACUTE CVA (Acute right periventricular white matter lacunar infarct) ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of difficulty in swallowing numbness in left side of face and deviation of angle of mouth . He is a known case of old CVA diabetes mellitus and hypertension. He was treated with Antiplatelets statin inj. Strocit inj.Levipil 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 difficulty in swallowing numbness in left side of face and deviation of angle of mouth . He is a known case of old CVA diabetes mellitus and hypertension.

STABLE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- NORMAL CORONARIES (04/12/2023)

Patient was admitted with the complaints of tiredness. CAG was done which shows normal coronaries. 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.

HYPONATREMIA (Recovered) METABOLIC ENCEPHALOPATHY RECENT NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG -DOUBLE VESSEL DISEASE (21/05/2023- Mother care hospital) S/P PTCA WITH STENTING TO LAD (21/05/2023- Mother care hospital) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of tiredness since 2 days and constipation associated with hip pain. On evaluation patient found to have hyponatremia. 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 2 days and constipation associated with hip pain. She is a known case of hypertension.

ANEMIA ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION MODERATE MR TR & PAH COPD AORTIC ANEURYSM WITH DISSECTION (STANFORD TYPE B) MEDIASTINAL MASS WITH TRACHEO ESOPHAGEAL FISTULA CHOLELITHIASIS BPH GRADE - I

Patient was admitted with the complaints of chest pain since noon associated with sweating with history of cough with expectoration since 2 days and fever. Blood investigations shows low Hb level which is corrected by two pint of packed cell RBC. 2D ECHO shows No RWMA fair LV systolic function Concentric LVH moderate mitral regurgitation moderate tricuspid regurgitation moderate PAH mild aortic regurgitation. 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 noon associated with sweating with history of cough with expectoration since 2 days and fever.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-(2015-At medical management) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

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

UNSTABLE ANGINA ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-SINGLE VESSEL DISEASE (05/08/2023) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS PLAN : PTCA to OM

Patient was admitted with the complaints of chest pain radiating to left shoulder and arm. CAG was done which shows Single vessel disease. Plan PTCA to OM. 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 left shoulder and arm. He is a known case of hypertension.

ACUTE HEART FAILURE (HFrEF) ACUTE CORONARY SYNDROME _NSTEMI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION SEVERE MR CA BLADDER TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness sudden onset progressive in nature. 2D ECHO shows Global LV hypokinesia severe LV systolic dysfunction severe mitral regurgitation mild tricuspid regurgitation mild PAH. He was stabilized on oxygen via NIV support. 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. He is a known case of diabetes mellitus.

HYPONATREMIA BPPV ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- NORMAL CORONARIES (06/10/2022) POST COVID SEQUALAE SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest heaviness sweating and pain radiating to left hand . 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 heaviness sweating and pain radiating to left hand . She is a known case of hypertension and diabetes mellitus.

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (17/01/2024) PRIMARY PTCA WITH STENTING TO LAD (17/01/2024) TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

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

INFERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION MODERATE MR CAG-TRIPLE VESSEL DISEASE (05/05/2022) PTCA with stenting to mid RCA (ISR) (Originates from left Cusp) mid LCX (ISR) and mid LAD (05/05/2022) CAG-DOUBLE VESSEL DISEASE (10/06/2019) S/P PTCA with stenting to LCX anomalous RCA (Origin from left cusp)(12/06/2019) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain with history of sweating nausea & giddiness. He is a known case of hypertension and S/P PTCA (2019). CAG was done which shows Triple vessel disease. hence PTCA with stenting to mid RCA (ISR) (Originates from left cusp) mid LCx (ISR) and 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 with history of sweating nausea & giddiness. He is a known case of hypertension and S/P PTCA (2019).

ACUTE CORONARY SYNDROME - NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE (31/03/2023) PTCA WITH STENTING TO PROXIMAL RAMUS (POBA) (31/03/2023)

Patient was admitted with the complaints of retrosternal chest pain associated with sweating and pain radiating to left arm and back since morning. CAG was done which shows single vessel disease. Hence PTCA with stenting to proximal RAMUS (POBA). 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 associated with sweating and pain radiating to left arm and back since morning.

SEVERE ANEMIA VALVULAR HEART DISEASE FAIR LV SYSTOLIC FUNCTION SEVERE MR SEVERE TR & PAH TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of tiredness since 2 days with history of dyspnea on exertion. He is a known case of diabetes mellitus. Blood investigations shows low Hb level (4.4 mg/dl) which is corrected by five 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 tiredness since 2 days with history of dyspnea on exertion. He is a known case of diabetes mellitus.

ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (10/08/2023) PTCA WITH STENTING TO OM & LAD (10/08/2023) TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of chest burning sensation yesterday afternoon. CAG was done which shows double vessel disease. Hence PTCA with stenting to OM & 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 burning sensation yesterday afternoon. He is a known case of diabetes mellitus.

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (15/12/2023) PTCA WITH STENTING TO LAD (15/12/2023) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain. 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 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 hypertension.

TUBERCULOSIS (ON ATT) TAO ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION PAG-POVD (22/12/2022) TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of exfoliative dermatitis –POVD of left lower limb. He is a known case of diabetes hypertension. PAG was done which shows POVD. 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 exfoliative dermatitis –POVD of left lower limb. He is a known case of diabetes hypertension.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (24/09/2022) PRIMARY PTCA WITH STENTING TO PROXIMAL-MID RCA (CTO) (Overlapping 2DES) (24/09/2022) & MID LCX (26/09/2022) TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest pain radiating to left upper limb. CAG was done which shows double vessel disease. Hence primary PTCA with stenting to proximal-mid RCA (CTO) (Overlapping 2DES) (24/09/2022) & mid LCX (26/09/2022). 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 upper limb. He is a known case of diabetes mellitus.

STABLE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES (16/02/2022) CHRONIC KIDNEY DISEASE SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness acute onset. She is a known case of hypertension and diabetes mellitus. She was stabilized on oxygen via NIV support. CAG was done which shows normal coronaries. USG abdomen shows Mild hepatomegaly with grade I fatty changes Bilateral chronic renal parenchymal 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 breathlessness acute onset. She is a known case of hypertension and diabetes mellitus.

SEVERE ANEMIA MODERATE LV SYSTOLIC DYSFUNCTION MODERATE TR & PAH SEVERE MR

Patient was admitted with the complaints of dyspnea on exertion and chest discomfort. Blood investigations shows low Hb level which is corrected by three pint of packed cell RBC. She was treated with 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 and chest discomfort.

RBBB ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-ECTATIC CORONARIES WITH SLOW FLOW (17/05/2023) TYPE II DIABETES MELLITUS

Patient presented in cardiology OPD for surgery fitness now admitted for CAG. CAG was done which shows ecstatic coronaries with slow flow. 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 presented in cardiology OPD for surgery fitness now admitted for CAG.

ACUTE HEART FAILURE (HFrEF) ACUTE CORONARY SYNDROME- NSTEMI RBBB SEVERE LV SYSTOLIC DYSFUNCTION MODERATE MR LRTI SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of breathlessness acute onset. He was stabilized on oxygen via NIV support. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Poor condition and prognosis explained to patient bystander but they want to take discharge hence patient being referred to district hospital for further evaluation and management.

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

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (19/05/2023)

Patient was admitted with the complaints of chest pain & dyspnea on exertion associated with sweating and palpitation. 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 & dyspnea on exertion associated with sweating and palpitation.

LRTI ACUTE PULMONARY EDEMA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION POST COVID SEQUALAE TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of fever cough and breathing difficulty. She was stabilized on oxygen via NIV support. 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 fever cough and breathing difficulty. She is a known case of diabetes mellitus and hypertension.

BRONCHITIS ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (patent stents in LAD & RCA) (20/11/203) S/P PTCA WITH STENTING TO LCX (20/11/2023) CAG-DOUBLE VESSEL DISEASE (23/02/2021) S/P PTCA WITH STENTING TO MID LAD (Overlapping 2 DES) (23/02/2021) + mid RCA (1 DES) – 25/02/2021 TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of breathlessness acute onset. He is a known case of a diabetes mellitus and hypertension. HRCT lungs shows Bilateral diffuse bronchial wall thickening suggestive of bronchitis. 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. He is a known case of a diabetes mellitus and hypertension.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE(01/03/2022) ANEMIA OF CHRONIC DISEASE CHRONIC KIDNEY DISEASE WITH ACUTE RENAL FAILURE(on hemo dialysis) UREMIC PERICARDITIS SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

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

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE Patent stent in LAD LCx & RCA (23/10/2022) PRIMARY PTCA WITH STENTING TO MID RCA (23/10/2022) S/P PTCA (2018) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of chest pain radiating to neck & left arm associated with sweating & palpitation. He is a known case of S/P PTCA hypertension and diabetes mellitus. CAG was done which shows SINGLE VESSEL DISEASE Patent stent in LAD LCx & RCA. Hence primary PTCA with stenting to mid 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 radiating to neck & left arm associated with sweating & palpitation. He is a known case of S/P PTCA hypertension and diabetes mellitus. ECG (23/10/22) HR:128/mt P: (92) QRS: (102) P: QRS= 1: 1

ACUTE CVA (Acute left periventricular white matter lacunar infarct) TONIC CLONIC SEIZURE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of seizure since one episode and left side weakness. CT brain shows Old left occipital infarct Chronic right lentiform and left thalamic lacunar infarcts Age related neuroparenchymal atrophy with subcortical ischemia. He was treated with Antiplatelets statin bronchodilators inj.strocit inj.levepil 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 seizure since one episode and left side weakness.

URINARY TRACT INFECTION CYSTITIS ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- NORMAL CORONARIES (25/05/2021) HYPOTHYROIDISM SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of chest pain since one day fever with chills and rigors. 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 since one day fever with chills and rigors. She is a known case of diabetes mellitus and hypertension.