1. Angio Conference

2. 11175155 김 O 동 (M/50) Admission: 06-06-07 Chief complaint - Chest Pain (recent o/s: 내원 2 주전, remote o/s: 내원 1 년전 ) squeezing type Ant. chest wall area Radiation to neck Aggrevated by exertion Duration: 5 min. Ass. Sx : nausea Relieved by rest  Present illness -M/50, 2 년 전부터 local clinic 에서 HTN medication 중이었으며, 1 년 전부터 1km 정도의 보행시 chest pain 이 있었음. 내원 2 주 전부터 500m 정도의 거리를 걸을 때에도 2-3 차례의 chest pain 이 생길 정도로 Sx. 심해져 외래 통해 입원함.

3.  Past medical history DM / HTN / Hepatitis / TB (-/+/-/-) Op Hx (-)  Personal history Alcohol (+): 회식시 소주 반 병 Smoking (-) :3 개월전 stop (20pack-years)

4. Review of systems  General : fatigue (-) fever (-) chills (-)  Skin : rash (-) itching (-) pigmentation (-)  Head / Neck : headache (-) hoarseness (-) sore thraot (-)  Respiratory : cough (-) sputum(-) dyspnea(-)  Cardiac : Chest pain(+) orthopnea(-) palpitation(-) edema(-)  GI : A/N/V/D/C (-/-/-/-/-) abd pain(-) hematochezia (-)

5. Physical examination  Vital sign 130/80 mmHg – 80/min – 18/min – 36.0 °C  General appearance - Alert mentality - Well looking appearance  Skin - No rash & pigmentation - Intact skin turgor  Head & Neck - No cervical lymph node enlargement - Neck vein engorgement (-/-)

6.  Eyes and ENT - Isocoric pupils with pupilary light reflex (++/++) - Whitish sclera - Pinkish conjunctivae  Chest - Clear breath sounds without crackle or wheezing - Regular heart beats without systolic murmur  Abdomen - Soft and flat abdomen - Normoactive bowel soud - Abd tenderness or rebound tenderness (-/-)

7. Lab results CBC/DC 6780/mm3 – 15.2 g/dl – 44 % - 277k ( seg: 63.2 % ) Chemistry TB/DB 1.22 / 0.25 mg/dL T-chol/Glu 229/90 mg/dL AST/ALT 26 / 19 U/L LDL-chol 165 ALP 73 U/L TG 206 Prot/Alb 6.1 / 3.4 g/Dl HDL-chol 28 BUN/Cr 18 / 1.1 mg/dL Na/K/Cl 141 / 4.3 / 104 mmol/L CK 176 CK-MB 2.3 Troponin I 0.01 Myoglobin 38.4 UA RBC 0-1 WBC 0-1

8. Chest PA

9. ECG

10. Treadmill Echocardiography(06-6-2)

14. CAG AND PTCA