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CAN (Coronary Aneurysm) Be Fatal
A 57-year-old patient presented to our center with retrosternal chest pain lasting 20 minutes that was not relieved by NTG sublingual and was associated with dyspnea on exertion. He was known to be diabetic and hypertensive for 20 years. He had a past history of bronchial asthma and was Hepatitis C positive. His physical examination was unremarkable. The patient's ECG showed no remarkable changes, while his echo showed SWMA, diastolic dysfunction, and an EF of 45%. Random blood sugar was 340 mg/dl, serum creatinine was 1.6 mg/dl, INR was 1.1, and cardiac enzymes were WNL. Coronary angiography showed a proximal LAD 50% lesion followed by a mid-LAD 80% lesion.
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what to do ??
i am really looking forward for your messages to see what decision you would have taken if u were in my shoes ?? ......US News: Top-Ranked Hospitals for C
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