Diagnosis and treatment of coronary

artery disease. Clinical case.

School of Science and Technology
Nazarbayev University

Luiza Niyazmetova, 201049408

November 28, 2011
Outline

 Medical, family & social history

 Physical & radiological exam

 Treatment

 Conclusion

 References
 Medical (M), Family (F) & Social (S) history

 M: Serik Kanatov, 45 years old came with the

chest pain and shortness of breath. The patient
is obese and has diabetes type 2 (was detected
1 year ago), and he was prescribed to take
Rosiglitazone to improve sensibility to insulin.
No allergies to drugs or food.
 F: No information about family diseases
 S: He is married, has 2 children, work as

manager in oil & gas company. He smoked 20

cigarettes a day, but since detecting diabetes,
he smokes 8 cigarettes a day.
Physical & radiological exam

 Height/ weight: 180/110

 Blood pressure: 160/100
 Electrocardiogram (ECG): some slight
abnormalities
 Treadmill stress: the presence of blockages
detected, but need confirmation by angiography
 Angiography: due to diabetes and taking
Rosiglitazone, performing angiography was
refused
 Computer Tomography: coronary artery disease
was detected
Treatment
 Diagnosis: Cholesterol-containing plaques in
the right coronary artery

 Surgical treatment: percutaneous coronary

intervention (PCI) i.e. placing bare metal stent
 Patient did not eat or drink 6 hours before

operation and was given pain medicine

 No complications during the operation
Conclusion
 After the operation, blood flow through
coronary arteries improved
 Patient was prescribed special diet and

exercises
 Strongly recommended to stop smoking
 Medicines for lowering cholesterol level in the

blood were prescribed

 After advising with endocrinologist that was

observing diabetes in the patient, taking

Rosiglitazone was stopped.
References
Angioplasty and stent placement – heart. (2010). Retrieved
from
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004945/
Coronary artery disease. (2010). Retrieved from
http://www.mayoclinic.com/print/coronary-artery-
disease/DS00064/DSECTION=all&METHOD=print
Coronary heart disease. (2011). Retrieved from
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004449/
Diabetes treatment: Medications for type 2 diabetes. (2011).
Retrieved from
http://www.mayoclinic.com/health/diabetes-treatment/DA
00089