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78 year old male patient with a long history of angina pectoris and CAD presented to the emergency department complaining of increasing anginal pain that he could not relieve with nitroglycerin and rest. The pain occurred again about an hour prior to arrival at the ED and subsequently increased in severity. Patient's medical history shows that he also has type II diabetes controlled with Metformin and hypertension controlled by Linsonopril. Previous cardiac catheterization showed some occlusion of the right coronary artery. It was decided to take the patient to the cath lab where the patient underwent a percutaneous transluminal coronary angioplasty (PTCA) with drug eluting stent. A thrombolytic agent was administered to a coronary artery in hopes of averting what appeared to be an impending myocardial infarction. The procedure was carried out without incident and the infarction was averted. Post-op diagnosis, total occlusion of right coronary artery due to CAD with angina. Postoperatively, the patient suffered a post-procedural hematoma of the groin (skin) from the catherization. Primary diagnosis.
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