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One-minute doctor summary
Culprit vessel was LCX with 100% thrombotic blockage, opened with two Boston Scientific Promus PREMIER drug-eluting stents through right radial access. Important remaining disease is LAD 80-85%, D-1 80-85%, and RCA 70-75%. Echo shows LVEF 45% with LCX-territory hypokinesia.
Main pending decision: staged PCI vs CABG vs medicines for the remaining multi-vessel coronary artery disease, especially because diabetes is documented and EF is reduced.
Corrected artery picture
3D before and after: heart attack artery
Simple family explanation, not an exact anatomical model. The left artery shows LCX blocked by clot; the right artery shows flow after angioplasty and two stents.
Medicines: critical family reminders
| Medicine group | Family meaning |
|---|---|
| Aspirin + ticagrelor | These protect the new stents from clotting. Do not stop or miss without cardiologist instruction. |
| Atorvastatin | Cholesterol/plaque stabilizing medicine after heart attack. |
| Bisoprolol | Reduces heart workload and helps rhythm/BP control. |
| Sorbitrate | Only for chest pain as instructed. If pain continues, treat as emergency. |
| Diabetes medicine | Continue exactly as prescribed; confirm HbA1c discrepancy with doctor. |
Emergency warning signs
Go to emergency/cardiac hospital or call local emergency help for chest pressure, pain spreading to arm/back/jaw, breathlessness, sweating, fainting, new severe weakness, repeated vomiting, fast/irregular heartbeat, or chest pain not relieved quickly by the prescribed SOS medicine.
In India, use local ambulance/cardiac emergency numbers such as 108/112 where available, or the nearest hospital emergency.
Why the hospital diet chart has no non-veg
The scan appears to be a standard 1800 kcal cardiac/diabetic hospital chart, and many such charts are written vegetarian by default. That does not automatically mean the patient must be vegetarian. For a heart patient, non-veg should usually be added as a replacement for another protein item, not as extra food.
Safer non-veg swaps
Replace one dal/curd/paneer-type protein serving with boiled, grilled, or steamed fish; skinless chicken; or egg whites.
Avoid for now
Fried chicken/fish, biryani-style oily meat, organ meat, processed meat, high-salt kebabs, salami, sausages, and heavy gravies.
Portion idea
Keep portions moderate and ask the dietician to fit them inside the 1800 kcal plan, especially because diabetes is present.
Doctor check
Confirm with the cardiologist/dietician if there is kidney disease, high uric acid, fluid restriction, or any other reason to limit protein.
Hindi family note: Non-veg extra nahi jodna hai. Dal/dahi/paneer ke badle doctor/dietician se pooch kar boiled/grilled fish, skinless chicken, ya egg white liya ja sakta hai.
Reports to download
Original scan preview
Diet chart scan from 17/07/2026. The full original scan PDFs are below.
Source documents attached for doctor checking
Embedded audited report
Medical sources used for family safety language
Diet and emergency wording is based on conservative heart-health guidance from the American Heart Association: choosing healthy proteins, eating better, cardiac medication safety, and heart attack warning signs. Final diet and medicine decisions must come from the treating cardiologist/dietician.
Sources: Healthy proteins, How to eat better, Cardiac medicines, Heart attack warning signs.