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ANEMIA UNDER EVALUATION ACUTE HEART FAILURE (HFrEF) AF WITH FVR ACUTE CORONARY SYNDROME- NSTEMI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION ANEMIA OF CHRONIC DISEASE CHRONIC KIDNEY DISEASE – STAGE V HYPONATREMIA ( recovered) CHOLELITHIASIS URINARY TRACT INFECTION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of vomiting and easily fatigable. Blood investigations shows low Hb level which is corrected by one pint of packed cell RBC. Nephrologist consultation was done and hemodialysis done. 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. USG ABDOMEN/ RENAL ARTERY DOPPLER(26/08/2023) Bilateral chronic renal parenchymal changes Elevated renal Doppler PI& RI indices consistent with CKD Cholelithiasis Right renal calculus Grade I prostatomegaly

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

UNSTABLE ANGINA NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of dyspnea on exertion. CAG done which shows normal coronaries. Post procedure period was uneventful. She was treated with Antiplatelets statins. Patient become symptomatically better and discharged in a stable condition on the following medications.

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

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE (09/12/2023) PTCA WITH STENTING TO OSTIAL RCA (09/12/2023) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of dyspnea on exertion. CAG was done which shows single vessel disease. Hence PTCA with stenting to Ostial 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 dyspnea on exertion.

ACUTE GASTRITIS ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION POST COVID SEQUALAE TYPE II DIABETES MELLITUS

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

Right frontal parafalcine region-? MENINGIOMA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION PLAN : CAG

Patient was admitted with the complaints of headache. she is a known case of hypertension. CT brain shows Well defined extra axial predominantly calcified lesion in right high frontal parafalcine region-? Small meningioma more likely than skull vault osteoma. 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 headache. she is a known case of hypertension.

ACUTE GASTROENTERITIS OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- DOUBLE VESSEL DISEASE(24/11/2022 ) PTCA WITH STENTING TO OSTIOPROXIMAL MID RCA TO MID LAD (24/11/2022 ) S/P PTCA(4 years ago)

Patient was admitted with the complaints of loose stool on multiple episodes since 2 days with history of malena. 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 loose stool on multiple episodes since 2 days with history of malena.

RBBB ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-ECTATIC CORONARIES WITH SLOW FLOW (22/07/2023)

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

RECURRENT URINARY TRACT INFECTION DIABETIC KETOACIDOSIS (Dehydration) PRE RENAL ARF ACUTE HEART FAILURE (HFrEF) RECENT ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION HYPOKALEMIA BRONCHIAL ASTHMA CHOLELITHIASIS MULTIPLE SMALL DIVERTICULAE IN THE ASCENDING COLON SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of vomiting and loose stool of multiple episodes. On evaluation patient found to have recurrent UTI. Orthopedic 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 vomiting and loose stool of multiple episodes. She is a known case of diabetes mellitus and hypertension.

POST COVID STATUS GERD ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of chest discomfort since 1 week and history of dyspnea on exertion since 1 week. 2D ECHO shows No RWMA Normal LV systolic function trivial tricuspid regurgitation IVC normal in size and collapsing. She was treated with Antiplatelets statin bronchodilators IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of chest discomfort since 1 week and history of dyspnea on exertion since 1 week.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-SINGLE VESSEL DISEASE (18/03/2023) PRIMARY PTCA WITH STENTING TO DISTAL RCA (18/03/2023) TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of retrosternal chest pain. CAG was done which shows single vessel disease. 2D ECHO shows RWMA(Inferior wall is hypokinetic) mild LV systolic dysfunction trivial mitral regurgitation trivial tricuspid regurgitation grade I LVDD SAV trivial aortic regurgitation IVC normal in size and collapsing. Hence primary PTCA with stenting to distal RCA. Post procedure period was uneventful. Other than that she was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

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

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION PAG-POVD (03/01/2023) PTA - POBA TO RIGHT PROXIMAL –MID SFA (03/01/2023) URINARY TRACT INFECTION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of non healing ulcer at right foot. She is a known case of diabetes mellitus. PAG was done which shows POVD. Hence PTA - POBA TO RIGHT PROXIMAL –MID SFA. 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 non healing ulcer at right foot. She is a known case of diabetes mellitus.

OLD ANTERIOR WALL MI NORMAL LV SYSTOLIC FUNCTION CAG- TRIPLE VESSEL DISEASE(22/07/2021) S/P PTCA WITH STENTING TO MID LAD AND PROXIMAL LCX(22/07/2021) OLD CVA TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

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

ACUTE CORONARY SYNDROME CORONARY ARTERY DISEASE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- PTCA WITH STENTING TO 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 . He is a known case of a diabetes mellitus and hypertension.

ANEMIA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of dyspnea on exertion and chest discomfort. Blood investigations shows low Hb level which is corrected by two pint of packed cell RBC. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of dyspnea on exertion and chest discomfort.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- MILD DISEASE PATENT STENT IN OM (22/03/2023) CAG - SINGLE VESSEL DISEASE (24/07/2020) S/P PTCA WITH STENTING TO MAJOR OM (24/07/2020)

Patient was admitted with the complaints of retrosternal chest pain . CAG was done which shows mild disease patent stent in OM. 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.

ATYPICAL CHEST PAIN NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of chest discomfort since noon associated with sweating and history of dyspnea on exertion. 2D ECHO shows No RWMA Normal LV systolic function trivial mitral regurgitation trivial tricuspid regurgitation IVC normal in size and collapsing and TMT shows negative. 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 discomfort since noon associated with sweating and history of dyspnea on exertion.

STABLE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES WITH SLOW FLOW (23/01/2023) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of swelling in left leg. CAG was done which shows normal coronaries with 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 swelling in left leg.

SUPRAVENTRICULAR TACHYCARDIA FAIR LV SYSTOLIC FUNCTION POST COVID SEQUALAE DYSLIPIDEMIA TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of excessive heart beat. On evaluation 2D Echo shows normal and TMT is negative. She 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 excessive heart beat. He is a known case of a diabetes mellitus and hypertension.

SUPRA VENTRICULAR TACHYCARDIA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- MYOCARDIAL BRIDGE (09/12/2022)

Patient was admitted with the complaints of chest pain in epigastric region to lower jaw and palpitation. CAG was done which shows myocardial bridge. 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 in epigastric region to lower jaw and palpitation .

ANEMIA HYPONATREMIA (RECOVERED) CIRRHOSIS LIVER WITH PORTAL HYPERTENSION ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-DOUBLE VESSEL DISEASE (07/09/2021) S/P PTCA WITH STENTING TO MID RCA & MID OM (07/09/2021) CHRONIC KIDNEY DISEASE CHOLELITHIASIS DYSLIPIDEMIA HYPOTHYROIDISM SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness sudden onset progressive in nature distending of abdomen since 2 weeks with history of dyspnea on exertion. Blood investigations shows low Hb level which is corrected by three pint of packed cell RBC. Sandeep sir 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 sudden onset progressive in nature distending of abdomen since 2 weeks with history of dyspnea on exertion. He is a known case of hypothyroidism and diabetes mellitus.

ACUTE RESPIRATORY FAILURE BILATERAL VIRAL PNEUMONIA AF WITH FVR ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION S/P MVR (2020) POST COVID SEQUALAE

Patient was admitted with the complaints of fever tiredness and cough since 2 days. CT thorax shows Bilateral consolidation and ground glass opacification suggestive of a viral pneumonia Bilateral trivial pleural effusion . Mediastinal lymphadenopathy. 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 fever tiredness and cough since 2 days.

ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- LM+ SINGLE VESSEL DISEASE (09/01/2023) PTCA WITH STENTING TO PROXIMAL LAD & LMCA (09/01/2023) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of retrosternal chest pain radiating to left upper limb lower jaw intrascapular region. CAG was done which shows LM+ single vessel disease. Hence PTCA with stenting to proximal LAD & LMCA. 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 lower jaw intrascapular region. She is a known case of hypertension.

ACUTE CORONARY SYNDROME- NSTEMI CORONARY ARTERY DISEASE SEVERE LV SYSTOLIC DYSFUNCTION S/P CABG-(2020) probable graft occlusion – Requires CAG OLD CVA ( Right temporo- parietal infarct) TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of right sided chest pain aggravated on inspiration with history of cough with expectoration since one week. 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. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of right sided chest pain aggravated on inspiration with history of cough with expectoration since one week. She is a known case of diabetes mellitus.

ACUTE CORONARY SYNDROME -NSTEMI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION CAG-LM+ TRIPLE VESSEL DISEASE (19/04/2023) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS PLAN : CABG

Patient was admitted with the complaints of chest discomfort and easily fatigable. He is a known case of diabetes mellitus and hypertension. CAG was done which shows LM+ Triple vessel disease. Plan CABG. Post procedure period was uneventful. Other than that 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 discomfort and easily fatigable. He is a known case of diabetes mellitus and hypertension.

ACUTE INFERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (16/05/2022) PTCA WITH STENTING TO Ostio proximal- Distal RCA CTO (4 DES) (17/05/2022) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of excertional dyspnea since 2 months and shortness of breath. CAG was done which shows double vessel disease. Hence PTCA with stenting to Ostio proximal- Distal RCA CTO (4 DES) Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of excertional dyspnea since 2 months and shortness of breath. She is a known case of hypertension and diabetes mellitus.

ACUTE GASTRITIS NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of epigastric pain acute onset. USG abdomen shows Mild hepatomegaly with grade I fatty 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 epigastric pain acute onset.

ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION POST COVID SEQUALAE ACUTE KIDNEY INJURY TYPE II DIABETUS MELLITUS (Newly detected)

Patient was admitted with the complaints of dyspnea on exertion since one week with PND & Orthopnea. 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 since one week with PND & Orthopnea.

AF WITH FVR ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of palpitation since morning. 2D EChO shows normal and 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 palpitation since morning.

ISCHEMIC HEART DISEASE TMT POSITIVE -23/06/2022 NORMAL LV SYSTOLIC FUNCTION CAG- SLOW FLOW IN LAD

Patient was admitted with the complaints of chest pain sudden onset associated with sweating & tiredness. On evaluation 2D ECHO shows No RWMA Normal LV systolic function trivial mitral regurgitation mild tricuspid regurgitation mild PAH IVC normal in size and collapsing & TMT is positive. CAG done which shows slow flow in LAD . Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin IV Fluids and antibiotic along with other supportive measures. Discharging patient in a stable condition.

Patient was admitted with the complaints of chest pain sudden onset associated with sweating & tiredness.

URINARY TRACT INFECTION POST COVID SEQUALAE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of fever chest pain radiating to left arm & back and pain during inspiration. She is a known case of hypertension and diabetes mellitus. On evaluation patient found to have UTI. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of fever chest pain radiating to left arm & back and pain during inspiration. She is a known case of diabetes mellitus.

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG-SINGLE VESSEL DISEASE(10/12/2023) PTCA WITH STENTING TO LAD(10/12/2023)

Patient was admitted with the complaints of chest pain acute onset. 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 and antibiotic along with 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.

OLD ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG-DOUBLE VESSEL DISEASE (30/08/2021) S/P PTCA WITH STENTING TO MID LAD (30/08/2021) & MID LCX (01/09/2020) HYPOTHYROIDISM SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness. He is a known case of Old AWMI S/P PTCA hypertension and diabetes mellitus. 2D ECHO shows RWMA(Apex mid anterior and mid septum is hypokinetic) moderate LV systolic dysfunction trivial mitral regurgitation trivial tricuspid regurgitation grade I LVDD SAV 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 breathlessness. He is a known case of hypertension and diabetes mellitus.

SEVERE ANEMIA ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (04/09/2021) S/P PTCA WITH STENTING TO MID LAD & PROXIMAL D1 (04/09/2021)

Patient was admitted with the complaints of dyspnea on exertion since 1 week. Blood investigations shows low hb level which is corrected by four pint of packed cell RBC. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of dyspnea on exertion since 1 week.

ACUTE PULMONARY EDEMA HYPERTENSIVE HEART FAILURE CORONARY ARTERY DISEASE NORMAL LV SYSTOLIC FUNCTION S/P PTCA (7 years back) S/P PPI CHRONIC KIDNEY DISEASE BPH SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of breathlessness since 2 days associated with cough with expectoration with history of fever since yesterday and dyspnea with expectoration since 1 day. She was stabilized on oxygen via NIV support. USG abdomen shows Bilateral chronic renal parenchymal changes Grade II prostatomegaly. he was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of breathlessness since 2 days associated with cough with expectoration with history of fever since yesterday and dyspnea with expectoration since 1 day. He is a known case of hypertension and diabetes mellitus.

OLD ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (10/10/2023) PTCA WITH STENTING TO LAD (10/10/2023) CAG – DOUBLE VESSEL DISEASE (10/01/2023)(at valuvanad hospital) S/P PTCA WITH STENTING TO LAD (at Valuvanad hospital)(10/01/2023) TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain since one day with history of sweating. 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 since one day with history of sweating. He is a known case of diabetes mellitus and hypertension.

ACUTE HEART FAILURE (HFrEF) LBBB ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION SEVERE MR MODERATE PAH SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of dyspnea on exertion since 3 days with history of palpitation associated with sweating and giddiness. She was treated with Antiplatelets statin diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of dyspnea on exertion since 3 days with history of palpitation associated with sweating and giddiness. She is a known case of diabetes mellitus and hypertension.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-MILD DISEASE (27/12/2021)

Patient was admitted with the complaints of chest pain retrosternal acute onset. 2D ECHO shows No RWMA Normal LV systolic function concentric LVH trivial mitral regurgitation trivial tricuspid regurgitation 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 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 acute onset.

COPD ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION

Patient was admitted with the complaints of dyspnea & breathlessness since 3 days associated with cough. 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 dyspnea & breathlessness since 3 days associated with cough.

ACUTE GASTRO ENTERITIS ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of nausea and vomiting. He is a known case of hypertension. 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 nausea and vomiting. He is a known case of hypertension.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-SINGLE VESSEL DISEASE (10/11/2023) PAG-TAO (10/11/2023)

Patient was admitted with the complaints of claudication pain grade II. CAG was done which shows single vessel disease. PAG shows TAO. 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 claudication pain grade II.

ANEMIA UNDER EVALUATION CAG- SINGLE VESSEL DISEASE (29/04/2021) S/P PTCA WITH STENTING TO RCA (29/04/2021) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted for blood transfusion. Blood investigation shows low Hb level which is corrected by one pint of packed cell RBC. She was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted for blood transfusion. She is a known case of diabetes mellitus and hypertension.

RECURRENT URINARY TRACT INFECTION HYPONATREMIA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION POST COVID SEQUALAE TYPE II DIABETES MELLITUS SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of abdominal pain associated with burning micturition. 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 abdominal pain associated with burning micturition. She is a known case of a diabetes mellitus and hypertension.

ACUTE ANTERIOR WALL MI ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION CAG- TRIPLE VESSEL DISEASE (05/06/2023) TYPE II DIABETES MELLITUS PLAN : CABG/ MULTIVESSEL PCI

Patient was admitted with the complaints of dyspnea on grade II. CAG was done which shows triple vessel 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 dyspnea on grade II. She is a known case of diabetes mellitus.

URINARY TRACT INFECTION OLD CVA ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYSFUNCTION MODERATE MR & AR S/P PTCA(12years back at lakshmi hospital) POST COVID SEQUALAE ACUTE ON CHRONIC KIDNEY FAILURE

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

Patient was admitted with the complaints of tiredness.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE MODERATE LV SYSTOLIC DYS FUNCTION MODERATE MR CAG-LMCA ORGINATING FROM RIGHT CUSP(08/11/21) SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of left hand pain after food. He is a known case of hypertension. CAG was done which shows LMCA ORGINATING FROM RIGHT CUSP. 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 hand pain after food. He is a known case of hypertension.

GERD STABLE ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG-NORMAL CORONARIES (14/06/2022)

Patient was admitted with the complaints of heaviness in chest radiating to back. CAG was done which shows normal coronaries. 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 heaviness in chest radiating to back.

ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION DILATED AORTIC ROOT AND ASCENDING AORTA MODERATE AR CAG-MILD DISEASE (05/09/2023) AORTOGRAM shows small length of aortic dissection BPH SYSTEMIC HYPERTENSION

Patient was admitted with the complaints of chest pain since 2 weeks with history of palpitation and breathing difficulty CAG was done which shows mild disease. Aortogram shows small length of aortic dissection. 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 chest pain since 2 weeks with history of palpitation and breathing difficulty. He is a known case of hypertension.

BPPV OLD INFERIOR WALL MI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC DYSFUNCTION CAG- SINGLE VESSEL DISEASE (04/02/2020) S/P PTCA WITH STENTING TO RCA (04/02/2020) SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of giddiness and unsteadiness since yesterday. He is a known case of hypertension and old IWMI. 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. CT BRAIN (13/11/2022) Age related changes present in bilateral cerebral parenchyma with sulcal space widening Bilateral periventricular white matter shows hypodensities likely chronic small vessel ischemic changes No obvious area of loss of grey white differentiation in present CT however MRI brain is recommended to rule out hyper acute infarcts and subtle infarcts if clinically indicated No intra axial / extra axial bleed.

Patient was admitted with the complaints of giddiness and unsteadiness since yesterday. He is a known case of old IWMI hypertension and diabetes mellitus.

POVD UNSTABLE ANGINA ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION PAG-PVD (03/06/2022) POBA TO RIGHT SFA (03/06/2022) RIGHT ABOVE KNEE AMPUTATION DONE ON 08/06/2022 CAG-SINGLE VESSEL DISEASE (23/05/2022) S/P PTCA WITH STENTING TO RCA (23/05/2022) ANEMIA POST COVID SEQUALAE HYPOTHYROIDISM TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of pain in right leg since evening associated with numbness. She is a known case of hypothyroidism and diabetes mellitus. Blood investigations shows low Hb level which is corrected by one pint of packed cell RBC. right lower limb Doppler shows Right proximal SFA occlusion with distal reformation at popliteal level Distal lib arteries showing monophasic/ trickle flow patterns. PAG was done which shows PVD (03/06/2022). Hence POBA to right SFA done. Check angio shown total occlusion of right SFA (06/06/22). Plan Amputation to right knee. Podiatric surgeon consultation was done and right knee amputation done (08/06/22). Post procedure period was uneventful. Other than that he was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of pain in right leg since evening associated with numbness. She is a known case of hypothyroidism and diabetes mellitus.

ACUTE PULMONARY EDEMA OLD CVA ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE SEVERE LV SYSTOLIC DYSFUNCTION CHRONIC KIDNEY DISEASE (On hemodialysis) SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS HYPER EOSINOPHELIA PLAN : CAG

Patient was admitted with the complaints of chest pain sudden onset after hemo dialysis. He is a known case of CKD (on hemodialysis) hypertension and diabetes mellitus. 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 ches pain sudden onset after hemo dialysis. He is a known case of CKD (on hemodialysis) hypertension and diabetes mellitus.

UNSTABLE ANGINA ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- TRIPLE VESSEL DISEASE (03/10/2023) PTCA WITH STENTING TO DISTAL RCA (J-CTO = 1) & LAD (ISR) (03/10/2023) CAG- DOUBLE VESSEL DISEASE (26/09/2020) S/P PTCA WITH STENTING TO LAD (26/09/2020) TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of left hand pain. CAG was done which shows triple vessel disease. PTCA with stenting to Distal RCA(J- CTO = 1) & LAD (ISR). 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 left hand pain. He is a known case of diabetes mellitus.

OLD ANTERIOR WALL MI ISCHEMIC HEART DISEASE MILD LV SYSTOLIC DYSFUNCTION CAG- DOUBLE VESSEL DISEASE (13/06/2022 ) S/P PTCA WITH STENTING TO OSTIOPROXIMAL LAD ( 22/11/2022) S/P POBA TO OSTIAL D1(22/11/2022) POST COVID SEQUALAE TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of dyspnea on exertion and PND(+).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 and PND(+). He is a known case of diabetes mellitus.

ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION TMT : MILDLY POSITIVE (25/05/2022) TYPE II DIABETES MELLITUS (Newly detected)

Patient was admitted with the complaints of sudden onset of fatigue and spasticity of both lower limb associated with nausea. On evaluation 2D ECHO shows Normal and TMT is mildly positive. 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 sudden onset of fatigue and spasticity of both lower limb associated with nausea.

POST COVID SEQUALAE MITRAL VALVE PROLAPSE NORMAL LV SYSTOLIC FUNCTION

Patient was admitted with the complaints of left side chest pain. 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 left side chest pain.

LRTI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION POST COVID SEQUALAE

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

Patient was admitted with the complaints of retrosternal chest pain.

ACUTE CORONARY SYNDROME –NSTEMI ISCHEMIC HEART DISEASE NORMAL LV SYSTOLIC FUNCTION CAG- SINGLE VESSEL DISEASE (20/04/2021) S/P PTCA WITH STENTING TO LAD (20/04/2021) ACUTE ON CHRONIC KIDNEY DISEASE OLD CVA SYSTEMIC HYPERTENSION TYPE II DIABETES MELLITUS

Patient was admitted with the complaints of vomiting on multiple episodes since 3 days . He is a known case of diabetes mellitus and hypertension. USG abdomen shows Bilateral chronic renal parenchymal changes Grade I prostatomegaly Biliary sludge. 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 vomiting on multiple episodes since 3 days . He is a known case of diabetes mellitus and hypertension.

HCM URINARY TRACT INFECTION ACUTE FEBRILE ILLNESS LUNG MASS CHRONIC KIDNEY DISEASE - STAGE V HYPONATREMIA (Recovered) ACUTE CORONARY SYNDROME-NSTEMI ISCHEMIC HEART DISEASE FAIR LV SYSTOLIC FUNCTION SYSTEMIC HYPERTENSION TYPE II DIABETUS MELLITUS

Patient was admitted with the complaints of fever with chills & rigors. He is a known case of CKD hypertension and diabetes mellitus. On evaluation patient found to have UTI. HRCT thorax showing right upper lobe peripheral lung mass probably malignant Bilateral basal segmental interstitial edema with ground glass opacification due to fluid overload/ cardiac decompensation. He was treated with Antiplatelets statin bronchodilators diuretics IV Fluids and antibiotic along with other supportive measures. Patient become symptomatically better and discharged in a stable condition on the following medications.

Patient was admitted with the complaints of fever with chills & rigors. He is a known case of CKD hypertension and diabetes mellitus.