having come across so many patients of heart disease particularly younger generation affects us a a whole.every other day we hear of heart attack occuring at least in out city if not in the immediate neighbourhood.the rise is alarming and very big problem at hand.
recently one patient of our came in with a chest pain on mild exertion.he is 16 yrs old and looks perfectly alright to any sane person.upon deeper probing ecg reveals changes which prompts us to do an angiography.
to our dismay he came out to be having left main disease with all three main blood vessels involvement and also distal scattered leision in the coronaries.upon investigation his lipid profile is deranged.and also c reactive protein is high.so steroids started to control the acute inflamation and patient asked to review with statins drugs.
he comes back and we make necessary investigations and get the patient on table for CABG.
with due informed consent and fully familirising the patien of the situation we operate the patient for CABG.
Such a young patient with deranged lipids profile and increased ldl cholestrol,prompts us to investigate further .
upon discussion with the cardiologists we reach to a final diagnosis of hyperlipidaeemia type 2
with xanthomas all over the body particularly extensor elbow joint and foot.
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