Case and Plan:
Patient Demographics
85 yrs, M
CAD Risk Factors
Hypertension – controlled
Hyperlipidemia – controlled
Ex-Smoker, + F/H
HbA1c:5.2/ LDL:54/ CRP:2.6/ SCr: 1.0
Medications: Warfarin
Present Clinical Presentation
Presented with DOE and chest pressure. HS-Tn negative. Pro-BNP 800
Clinical Variables
Known case of progressive severe AS (MG/PG/PV/AVA: 65/42/4.5/0.6), EF 48%, no MR,
mild pulm HTn
Cath: Cath on June 13th 2025 revealed 2 V+LM bifurcation CAD, Syntax score 48. CT surgery consut done and declined due to advanced age.
