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A K M Mohiuddin
tVID
Clinical &
(Heart, Medicine, Chest & Diabetes
Associate Professor Cardiology IBN SINA
lbn Sina tVedicalCollege & Hospital
BN/DC Reg. No : 4-26018

PATIENT HISTORY
Date t r stP 10il

Name: a \ar12- v-l'ag 5.41r( Age: ....Q.3.. s"*, tt? wt: ..6.9.tg
Address
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Mobile Num aj gryiza 8{ a3 E-mail
CHIEF COMPLAINTS:
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PAST HISTORY:
CAG
PCI
PPM
PTMC
Cardiac Cath
Decive Closure
Valvuloplasty
CABG
Others
CO.MORBIDITY:
NSTEMV UA/ CSA/ LVF/ RF/VI{D/CHD/ PHTN/CHB/TPM/ PPM/TOF/ASD/VSDiPDA/IICIvV
PLID/ PUD/CLD/ DPN/PN/
/Depression/PMS/SFD/tr{alignancy/TB/ Head S-C,L/ LUTS/ Hypothyroidism/ Hyperthyroidism/Ilyperurecemia./
Allergy/Skin Disease
FAMILY HISTORY
HTN.ItrD. DM. Dyslipidaemia. cvD. BA. Malignancy. Menral Disorder. Piles,IBS

PERSONAL HISTORY:
Smoking, Alcohol, Drug, Betel nut/leaf, Tobacco leaf. . .

DRUG HISTORY :
Recent : Previous:
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L CBC Hb%ESR

PBF/Biood grouping and Rh Factor

Fasting
t4 2HA75gm Glucose

BS BS 2HABF

2HAL

. HBA1C

Fasting Lipid Profile

S.Creatinine, ACR, S.ElectrolYtes

Provisional Diagnosis:
Troponin- 1, CK-MB, NT.PToBNP/BNP

2D and M-Mode
Echo
Dopler
Confirmatorv Diagnosis: \,
ETT, Holter Monitor
HBsAg Elisa, HCVAntibody, HIV(1+2), VDRL. TPH{
FT3, FT4, TSH, H-Pyloli AntibodY

Treatment S.bilirubin, ALT, AST, ALP, S.Aibumin. A: G ratio

Prothombin Time, INR, BT, CT, APPTT
S.Uric Acid, ASO, CRP, Anti CCP, RA
S.Iron Profile, Total Iron, TIBC, Ferritin, Hb-Electroporesis
RT-PCR for Covid-l9/Rapid Antigen test for Covid-19
D-Dimer, Procalcitonin
Fasting S.Calcium, PO4, Mg
Vitamin-D (25-OH)
o(-Feto Protein, PSA(Quantitive), CEA
ICT for Malaria, Blood for C/S, MP
Dengue NSl Ag, Dengue IgG, Dengue IgM, IgE

Sputum for AFB/Malignant Cell v

Anti Thyroid antibody, Radio lodine uptake test of Thyroid
Thyroid Scan/USG of thyroid
CXRP/A. x-
USG of..
Endoscopy of Upper GIT................
Advice:
Colonoscopy.
CT Scan of...................
CAG/PTCA/PTMC/PPM/TPM/PAG MRI of...........
Cardiac Cath/Device Closure

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Spirometry, FNAC, Biospy
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29, Kot Bari Road, Tomsom Bridge, Cumilla-3500
; O Mobile :01841 212275-76, Phone: +8808174470-73
z o E-mail : idic.cumilla@ibnsinatrust.com
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IBN SINA
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rrilff[J!$$lfilJlllll REPORT
I.D.No CU41277 Received date : 9 Sep 2021 Printed date: 9 Sep 2021 08:39PM

Name of Pt. JAKIR HOSSAIN Age : 65 y(s) Sex: Female

Ref. By Assoc. Prof. Dr, A.K.M Mohiuddin Bhuiyan (Masum), MBBS, MD (Cardiology)

Part Scanned ECHO COL.DOP.

Thanks for refeting the patient to us.

ECHOCARDIOGRAPHY REPORT
(2D & M-mode & Colour Doooler)

U ARD
Parameter Value
27 mm LV mass
Parameter Value
gm
LA 38 mm EPSS mm
ACS 16mm Mitral EF slope cm/sec
LA:AO: Ratio 1.4 Mitral annulus mm
LA volume ml/m2 MVA Glanimetry) crr?
RA mm AVA(Planimetrv) cm2
RVID mm Aseending Aorta fitm
RVOT mm Aortic annulus mm
IVSd 13 mm LVOT fltm
LVPWD 09 mm TV annulus mm
ryS/LVPW 1.5 MPA mm
LVIDd 56 mm LPA mm
LVIDs 4Omm RPA mm
FS 27% MAPSE mm
LVEF 52% TAPSE 22mm

Doppler Measurement
Parameter Velocity (m/s) Peak Gradients Mean Gradients Diastology
Mitral valve 1.52 9.24 mmHg mmHg Mitral E 1.36 E/E 0.6
Aortic valve 1.44 8.28 mmHg mmHg Mitral A 0.89 DT:

J Tricuspid valve
Pulmonary valve
0.8r
0.91
2.65 mmHe
3.38 mmHg
nftnHg
mmHg
E/A ratio 1.5
Medial E 6.00
IVRT:
LV volume
Index:
Pulmonary Arterial Pressure PASP 41 mmHg PADPmmHg Lateral E 10.7 LVOT
sradient

Description
Situs solitus, Levocardia, two Atria, two Ventricle, Atrioventricular and Ventriculoatrial concordance. Normal
systemic and pulmonary venous drainage. No PDA, No Coaractation.
Chambers
LA- Nomal, clear appendage.
LV- Cavity dimension and wall motion within normal limits.
Anteriror wall: All segments are normokinetic.
Septum: All segments are normokinetic.
Posterior (Including lateral) wall: Posteriorbasal and mid and lateral wall '4pical and mid segments
are hypokinetic.
Inferior Wall: All segments are normokinetic.
RA- Cavity dimension are within normal limit.
RV- Cavity dimension and wall motion within normal limit.
 ; t 29, Kot Bari Road, Tomsom Bridge, Cumilla-3500

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o Mobile :01841 212275-76, phone; +8808174470-73
O E-mail : idic.cumilla@ibnsinatrust.com

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Valves
r Mitral valve: Non coaptated, regurgitant flow seen.
r Aortic valve: Structurally normal, no AS/AR.
. Tricuspid valve: Non coaptated, regurgitant flow seen.
o Pulmonary valve: Non coaptated, regurgitant flow seen.

Septae :
IAS: Intact
IVS: Intact

Veins:
c Pulmonary veins: Normal flow seen.
IVC: Normal

Pericardium : No pericardium effusion.

o Thrombus/Vegetation/OtherMass.
o Other findings:

Dopnler Studv: MR grade-I+, TR trivial, PR trivial flow pattern seen across the valves & normal Ieft
ventricular diastolic function seen.

Impression:
o IHD- RWMAofLVmention above.
o MitralRegurgitation (Grade-I+).
o PulmonaryRegurgitation (Trivial).
o PASP - 4l mmHg.
o Good RV systolic function.
o Fair LV systolic function.

Dr.AK
MD (Cardiology)
Associate Professor Cardiology
Ibn Sina Medical College & Hospital
Prepared by:
Shmsun Nahsr
 C 29, Kot Bari Road, Tomsom Bridge, Cumilla-3500
; o Mobile : 01&i1-3113?5-76, Phone: +8808174470-73
z O E-mail : idic.cumilla@ibnsinatrust.com
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4r.e77BAA2 USG REPORT
l.D. No : CU4l277 Received date:9 Sep 2021 Printed date: 9 Sep 2021 09:10PM

Name of Pt. : JAKIR HOSSAIN Age : 65 y(s) Sex: Female

Ref. By : ASSOC. PROF. DR, A.K.M MOHIUDDIN BHUIYAN (MASUM), MBBS, MD (CARDIOLOGY)

Part Scanned: USG WHOLE ABDOMEN WITH PVR

Scan was pefformed with Voluson E8 (DiEital) USG machine

Liver : Normal in size (15.O cm in right mid clavicular linel with homogenous
parenchymal echotexture and diffusely increased echogenicity having no
L focal lesion. lntrahepatic biliary radicals or hepatic veins are not dilated.
CBD : Not dilated.
Gallbladder : Shows no sign of inflammation or calculus.

Spleen : Normal in size {Bipolar length-9.4 cm) and uniform in echotexture.

Pancreas : Normal in size (AP thickness- l.8 cmf and uniform in echotexture. MPD is
not dilated.

Kidneys : Both the kidneys are normal in size (Bipolar length- RK-9.6 cm, LK- 9.3
cmf, shape and position. Cortical thickness and echogenicity are normal
and CMD is maintained. PC systems of neither kidney are ditated. No
calculus is seen.
Uri. bladder : Partially filled. Wall thickness is regular and within normal limit. No
calculus or mass lesion is seen.
t Prostate :The prostate is minimally enlarged in size 14.4x2.7x4.2 cm,Vol-27.1 cc3.
Prostatic parenchymal echotexture is unremarkable. Capsule appears
intact. PVR-12 ml.

Comment : l. Fattlr liver Grade -1.

2. Minimally enlarged prostate.

-' 01" 1
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Asst. Prof. Dr. Md. Salahuddin Patwary

Prepared By: MBBS, BCS (Healthf,
Main Uddin M. Phil (Radiology & lmaging|
Consultant
lbn Sina Diagnostic & Consultation Center, Cumilla.