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C/O TVD Advised CABG
HT + CAD : RECENT ST ELEVATION IWMI ( NOT LYSED WP>12 HOURS) SEVERE LV SYSTOLIC DYSFUNCTION CKD-IIIUL P/CAG (29/02/2016)-->CRITICAL TVD P/ATTEMPTED PTCA TO RCA->UNSUCCESSFUL CHF(+)-->NOW RECOVERED NSR LRTI
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Dr. Anand Nadkarni
Cardiothoracic and Vascular Surgeon 18 yrs exp Pune

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Will need to see CAG, if good target vessels ideally CABG. If known case of CKD prior to MI and CAG has not worsened Urea and Creat values (CIN). CKD status will remain unchanged after CABG . May need dialysis (SLED) or CRRT. LRTI needs to be addressed with suitably modified(renal) antibiotics
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