55 yrs old male patient presented with c/o tiredness since 1 week no other specific complaints.k/c/o dm on insulin and htn on arb and beta blocker BP-120/80 Investegated - CBC, RFT, LFT, ,electrolytes,hba1c,blood sugar,ESR,urine routine, Lipid profile, all are with in normal limits except HB and HCT ECG - Premature ventricular complex, first degree AV block, old inferior wall MI Echo - lvh with good lv function Ref to cardiologist for coronary angiogram Coronary angiogram - mild left main with triple vessel coronary artery disease Suggested - CABG with grafts to lad,d1,om & pda Ref to cardiothoracic surgeon for CABG. He admitted that pt on 06/05/15 and did evaluation for HB and HCT with?
Myeloproliferative disease after all evalution, pt underwent surgery on 9 /05/15 and pt expired on 13/05/15 In death summary cause of death: Acute myocardial infarction Cerebrovascular accident-acute…