PIPRAMS

GREATER NOIDA

SUBJECT – MEDICAL SURGICAL NURSING

CASE STUDY ON-

ANGINA PECTORIS

SUBMITTED TO- SUBMITTEED BY-

MR. DEEPAK KAMINI

NURSING LECTURER MSC(N)2ND YR

PIPRAMS PIPRAMS

SUBMITTED ON –
25/10/2021
CASE STUDY ON ANGINA PECTORIS

Patient’s name : Mr Ravi

Age: 53

Sex : male

Phone no. : 9000258621

Addiction: smoking.

Complaints of:

1. Severe chest pain.

2. Acute breathlessness (3 days)

Past History - History of acute myocardial infarction in year 2015.

Patient was thrombolised with Tenactoplase .On admission patient was found to be hypertensive.
Patient was subjected to Angiography. Later on his arteries was found to be normal (good result
of thrombolysis).Patient was prescribe anti hypertensive drugs, coronary dilators and antiplatelet.

History of present illness -

Patient developed sudden chest pain and breathlessness 15 days back. Looking into his past
history ECG was done which showed ischemic changes. Thereafter the coronary artery was
found to show blockage . He was advised angiography /stenting.

Clinical summary: Mr. Ravi is a case of hypertension IHD (old IWMI- thrombolyzed in 2015)
with Non Critical coronary Artery Disease (CAG done in 2015) with Exertional Angina (TMT
+ve) with normal LV Function, was admitted for coronary angiography.

Coronary Angiography was done which showed single vessel with mild Stenosis of LAD. Hence
he is advised PTCA to OM1 and distal LCx. Patient remained stable throughout hospitalization
and is being discharged in stable condition.

Clinical Diagnosis:

Hypertension with IHD (Old IMWI-thrombolysed in 2015) with non critical coronary artery
disease (CAG done in 2015) with exertional angina (TMT +ve) with single vessel disease with
normal LV function (LVEF 65%) Procedure performed: Coronary Angiography -right radial
route.

Date of procedure: 24-10-2021

Comments: Pathology reports allotted along with discharge card.

Investigtions:

 ECG done regularly.

 HBA1C-5.6
 Serum potassium-4.2
 Serum sodium:139
 Serum creatinine:1.12
 Blood urea:21
 Triglyceride : 169
 VLDL:33.80
 LDL:40.20
 Cholesterol:113
 Hemoglobin: 13.5
 Blood sugar fasting:102

Treatment advised:

DOSES TIMING DURATION-

 Mono isodril ( Isosorbide mononitr) at 8:00 am

 Carda Ramiprilce 5mg at 7 AM To cont.
 Concor Bisoproplrol 2.5mg at 9 AM
 Rosed Rosuvastatin+ gold aspirin 10mg AD To cont.
 K-cor10 (Nikorandil ) 5mg AD To cont.

Condition at discharge: Afeb, pulse80/min,BP-130/80mm Hg, Chest-clear, CVsS1,S2(n)

Final diagnosis: Single vessel Disease with moderate Stenosis of LAD (40%)

Advice: PTCA to OM1 and Distal LCx.

Coronary Angioplasty report -

Patient name: Mr Ravi

Procedure date: 2-11-21

Age: 53 years
Sex: male

Performed by: Dr. H.M. Mardikar and Dr. N.V. Deshpande

Clinical findings: PR-60/mt , BP-157/94 mm Hg CVS: S1S2 (N) Chest: Clear

Abdomen- NAD

Diagnosis: Single vessel disease with moderate Stenosis of LAD

Remarks: PTCA to LAD and LCx was done with 01 Pronova XR and 01 Eucatech AG DES
Implantation with Inj. Tirofibnan.

1. Artery:LAD

LAD: Mid segment has 40% eccentric and discrete tenosis. 22mm in length and 3.0 mm
diameter type B2 TIMI-/III flow.

Stent: Eucatech AG 2.75 in diameter and 28mm long was deployed at a pressure 12mm the
indication for stenting was denovo.

2. Artery: LCx

LCx: Proximal segment hs 80% eccentric and discrete stenosis. 18mm in length and 2.75
diameter. Type B2 TIMI-III flow

Stent : Pronovo XR 2.50 in diameter and 23mm long was deployed at a pressure 122mm the
indication for stenting was Denovo.

Guide Catheter: 7f, JR 4 guide catheter was used.

Result: procedure was successful.