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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Type2 2 DM / SHT / CAD / Acute AWMI / Thrombolysed With Reteplase Indicate?

Dear Doctors

I shall ever be obliged to your kind selves for your advise as I hereby request you.

My sister Anuradha, 51 yrs, discharged yesterday (22.2.14) after 6 days stay Hospital, with information for further reference.

Request your evaluations and opinion based on the patients diagnosis which is produced below., I am confused with the medical opinions given to me so far.

Her DIAGNOSIS: TYPE 2 DM / SHT / CAD / ACUTE AWMI / THROMBOLYSED WITH RETEPLASE.

HISTORY NOTED: Chest pain; ECG–ACUTE ASMI; Diabetic and hypertensive; BP: 130/90 mm/Hg; HR: 110/min; Tachycardia; RS: Clear.

REVIEW DIAGNOSIS: DM / HTN /CAD / Acute ASMI / Killips – 1

Her Echocardiography shows – LV shows global hypokinesia of anterior wall, IVS & LV Apex. Normal left ventricular systolic function. Left ventricular Ejection Fraction-40%.

Thanking you ever so much.

In anticipation of your advise,

m.a.k. raju

Ph: 91-0000.
Chennai.
India
posted on Wed, 12 Mar 2014
Twitter Wed, 12 Mar 2014 Answered on
Twitter Wed, 12 Mar 2014 Last reviewed on
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Cardiologist,  's  Response
Dear Sir
Thanks for writing to us.
The paragraph mentioned from the discharge ticket/case history says that the lady has diabetes, high blood pressure, acute heart attack and this heart attack was managed with a clot dissolving medication called Reteplase. She has no signs of heart failure and her pumping of heart is reduced marginally (40%), normal being 55-75%.
Hope this helps
Sincerely
Sukhvinder
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What Does Type2 2 DM / SHT / CAD / Acute AWMI / Thrombolysed With Reteplase Indicate?

Dear Sir Thanks for writing to us. The paragraph mentioned from the discharge ticket/case history says that the lady has diabetes, high blood pressure, acute heart attack and this heart attack was managed with a clot dissolving medication called Reteplase. She has no signs of heart failure and her pumping of heart is reduced marginally (40%), normal being 55-75%. Hope this helps Sincerely Sukhvinder