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Mr. Batra, a 75-year-old male with a history of coronary artery disease, underwent a permanent pacemaker implantation in July 2024 and was later advised for an ICD placement. A coronary angiography in November 2024 revealed triple vessel disease and other complications. His extensive medical history includes multiple bypass surgeries and conditions such as hypertension and gout.

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parichaya reddy
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14 views

DOCUMENTS

Mr. Batra, a 75-year-old male with a history of coronary artery disease, underwent a permanent pacemaker implantation in July 2024 and was later advised for an ICD placement. A coronary angiography in November 2024 revealed triple vessel disease and other complications. His extensive medical history includes multiple bypass surgeries and conditions such as hypertension and gout.

Uploaded by

parichaya reddy
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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MEDICAL HISTORY OF MR.

BATRA

S.no Date Hospital Procedure


1 04.07.2024 Fortis Escorts Heart Procedure Name: Pace Maker-Dual
Institute, New Delhi Chamber
PROCEDURE
Permanent Pacemaker Implantation
done from left subclavian route under
local anesthesia. Device implanted in
left prepectoral region.
RV Lead Implantation done at RV
Septum.
RA Lead Implantation done in RAA
2 29.11.2024 SHRI GANGA Advised for further management at
CHARAN Medanta Hospital, Gurgaon: IAICD
ARYAWARDHAN PLACEMENT
HOSPITAL
3 11.11.2024 Medanta Hospital, Procedure or Surgery
Gurgaon
CORONARY ANGIOGRAPHY (CAG) ON
11.11.2024, WHICH REVEALED NATIVE
TRIPLE VESSEL DISEASE WITH PATENT
LIMA TO LEFT ANTERIOR DESCENDING
ARTERY (LAD) GRAFT. BLOCKED SVG TO
DIAGONAL-1, OBTUSE MARGINAL-1 AND
SVG TO RPLB GRAFTS.
Medical History & Presenting
Complaints

Mr. Nidhish Batra, 75 years old male, is


a known case of coronary artery disease
(coronary artery disease (CAD)),
presented with complaints of shortness
of breath since August 2024, and
palpitation. He was admitted here for
further evaluation & management.
4 11.08.98 INDRAPRASTHA Operation Done:
APOLLO Aorto Coronary Bypass Grafting x 4
HOSPITALS Left internal mammary artery to left
anterior descending artery. Saphenous
vein grafts to first obtuse marginal
artery, right posterior left ventricular
and first diagonal artery
OPERATIVE FINDINGS
A case of severe CAD,TVD, recent
inferior wall myocaridal infarction. Post
myocardial infarction angina. LV
contraction good. Reflux oesophagitis.
History of fatty changesin liver. History
of Gout. Hypertension. Ex-smoker.
History of chronic active gastritis.
Creatinine clearance 62ml/min. Stress
thallium shows reversible ischaemia.
Raised LVEDP. LRA not harvested due ot
2:1 AV block and oxygen saturation was
84% left hand. RCA was atherosclerotic
and calcific upto crux area. RIMA not
harvested. Cooled to 32°C. Minimal
hypothermia. Blood Cardioplegia used.
clamp was released, heart start beating
on its own Nghythiha dine gift with Mild
Inotropic
support.
5 08.08.98 INDRAPRASTHA PARTICULARS OF OPERATION:
APOLLO Aorto Coronary Bypass Grafting x 4
HOSPITALS Left internal mammary artery to left
anterior descending artery. Saphenous
vein grafts to first obtuse marginal
artery, right posterior left ventricular
and first diagonal artery
6 04.08.98 INDRAPRASTHA BRIEF HISTORY:
APOLLO Mr. N. Batra, who is a 48years old male,
HOSPITALS a known hypertensive and an ex-
smoker, but a non-diabetic and a non-
alcoholic, presented to us with the
history of Recent IWMI along with
unstable angina. Subsequently, his CAG
done here on 04/08/98, revealed
CAD(TVD) with normal left ventricular
function, for which he was advised early
CABG.

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