A software employee male patient admitted in emergency department with chief complaints of upper right back pain, hypoxia, unable to stand or sit. He was with a full of sweating and chillness of his upper and lower limbs. He was a known case of type-2 diabetes mellitus and under medication with Tab Metformin 500mg BD. He has elevated random blood sugar- 237mg/dl and blood pressure- 150/90 mmHg. Surprisingly his electrocardiograph was normal but Coronary Angiogram impressions were with 1) Proximal Right Coronary Artery was dominant and shows 70 – 80% stenosis, mid and distal RCA shows mild plaque, 2) Proximal Left Anterior Descending shows thrombus containing 90% occlusion, 3) Acute Anterior Wall Myocardial Infarction. He was diagnosed as Double vessel disease in Coronary Arteries due to Type-2 Diabetes Mellitus. Physician kept the stent for his Left Anterior Descending and prescribed Tab Atorvastatin 40mg OD, Tab Clopidogrel 75mg OD, Tab Asprin 100mg OD, and Tab Glipizide 5mg OD and counseled with breathing exercises, diet modification, and life style changes. It was planned to put another stent in Right Coronary artery after month but it was not done due to his quite good condition was revealed again after Coronary Angiogram.
