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Significant Findings 57-year-old male, known case of hypertension came to emergency with complaint of pain and heaviness for the Electrocardiogram : Sinus rhythm, ST depression v2-v5 , no reciprocal changes, Posterior side Electrocardiogram sinus rhythm with PVCs, minimal ST elevation v6-v9 , no reciprocal changes Cardiac catheterization showed 80% occlusion to left anterior descending artery, distal segment shows subtotal occlusion in left circumflex artery showed disease versus shows proximal subtotal occlusion Patient is started on full anti ischemic medications and patient is candidate for coronary artery bypass grafting Patient is asymptomatic, mobilized without symptoms and trop I is regressing Patient needs fully bed rest until arrangement for coronary artery bypass graft is made * Final Report * CARDIAC CATHETERIZATION REPORT OPERATOR: Dr. jean fajadet , Dr. Mohamed Ashraf Cardiac Risk Factors HTN Smoker Dyslipidemia Pre-Catheterization Diagnosis Admitted as late preesentation MI with persistant angina Echo: Mild LV systolic dysfunction (EF= %) ACCESS: right radial, 6F sheath, Bleeding secured by TR band at the end CORONARY ANGIOGRAM: · Left Main: Normal vessel that bifurcates into LAD and LCX , it appears free of significant disease · Left Anterior Descending Artery: Ostial 80% occlusion extending to proximal segment , Distal segment shows subtotal occlusion · Left Circumflex Artery: Diseased vessel , OM1 shows proximal subtotal occlusion(culprit) and OM2 shows para-ostial long 70-80% lesion · Right Coronary Artery: it appears to be free from any significant lesions whatsapp-00971525689091