Six months ago my regular male patient for twenty five years, aged 60 years who was a known DM and undergone CABG for 45% block in only Main left coronary artery in Chennai five years ago on regular checkup with me, came with a complaint of chest pain which was severe enough to express himself that he was thinking of committing suicide at night. On examination no specific signs made out and ECG and X Chest PA view taken was not contributory. He was given diclofenac by parenteral route to reduce the pain and referred to Cardiologist for further evaluation. He was admitted for five days.
All tests including CAG was not contributory including Coronary CT angiogram except there was an increase in CRP significantly. Patient was kept in ICU and discharged with advice. Unfortunately no CTS opinion got and CRP not repeated since it is one of the important biochemical markers now. I referred…
