1) The Troponin1 level is in the normal range. Creatine kinase myocardial bandIs also normal. B type natriuretic peptide is also normal. Triglycerides and cholesterol is borderline high and ranges from 1.8 to 2.2 mmol/L. HbAlc is over 6.5 and this indicates that the patient is diabetic.
2) What is your primary diagnosis?
2) During the primary diagnosis the patient suffers from chest pain and hypertension and also defuse thyroid disease and the angiogram shows coronary heart disease and the triglyceride cholesterol level is also high. -This indicates that the Patient is suffering from angina pectoris which if not treated can lead to myocardial infarction.
3) Which examination is the most useful to diagnose?
3) The top and one level is a useful test because increase in the top and in one level shows the presence of a myocardial infarction.
4) What is the next treatment?
4) Cardiac Rehab,Beta blockers in case the patient is suffering from angina, CABG coronary artery bypass grafting could be used as the next treatment.
5) What else is included besides medication and PCI treatment?
5) The patient should be put on a proper diet and exercise schedule and also should maintain a healthy blood glucose level besides the medication and PCI treatment.