Case Report on Coronary artery disease with TVD (Triple Vessel Disease)

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Jaya m. Bhagat, Ms. Bhawana Dhanvij, Shital Telrandhe, Bharat S. Sudame

Abstract

Triple vessel coronary artery disease (CAD)(TVD), that too in a diabetic patient means, invariably coronary artery bypass (CABG). If the patient is symptomatic, there is no problem in arriving at a decision. If the patient doesn’t have any symptoms and coronary angiogram reveals TVD, there’s a dilemma of what should be done. “Even in patients with left main and severe three -vessel disease, proof is lacking that prophylactic ment that appeared during a book on cardiology. If the patient is symptomatic to start out with, and becomes asymptomatic after surgery, that’s a yardstick to measure the efficacy of the treatment, but what happens in people who are asymptomatic to start out with and remain asymptomatic after the procedure. The next case is one such case where the patient was asymptomatic throughout, which caused a dilemma in his further management, Present complaints and Investigation: The male patients 65-year-old who was apparently admitted in AVBRH on dated 13/07/2021 with complaints that chest pain and palpitations since 4 days, After physical a examination and investigation. The doctor diagnosed the patient with coronary artery disease (CAD) with triple vessel disease (TVD) and he was treated with anti-inflammatory and blood thinning/ antiplatelet agents. The main diagnosis, therapeutic intervention and outcome: A case of coronary artery disease with triple vessel disease has been diagnosed following a physical examination and investigation by a doctor an Chest: bilateral equal air entry , on added sound, CVS: S1+S2+M, Angiography , the doctor diagnosed the patient with coronary artery disease (CAD) with triple vessel disease (TVD) and he was treated with antiplatelet also diabetes panel. Conclusion: The patient was admitted to the A.V.B.R. Hospital with chief complaint was chest pain and palpitation the patient received all necessary treatment and medicine. The condition of the patient had improved.


 

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