 ging  46  ella Karli .  athanu bheemaa egjicutive ,  atanaki iddharu pillalu unnare .  ging tana charchiloo churukugaa vuntadu mariyu vaaraantaallo golph aadtadu .  athanu tana cardialogist ‌ ni chudataniki velladu endhukante athanu shramato chaathie noppitho edvala alsatanu anubhavinchadu .  athanu yeppudu dhumapanam cheyaladu conei athanu rojuku  1  nundi  2  alkohol drinks teesukuntaadu .  atani vydya charithra rakta colastral stayi  260 mg%,  trigliseride stayi  198 mg%  mariyu  HDL-C  viluva  43 mg%.  ging yokka gunde yokka  12- lead  ECG  tracing ‌ nu adhyayanam chosen tarwata ,  atani gunde ischemic ani spashtamaindi .  konni tadupari screeniing parikshalu mariyu sifarsu chosen jokyalanu soochinchandi .
 phaaloe - app screeniing parikshala choose chaaala empikalu unnayi .  udaharanaku ,  meemu rangu doppler ‌ thoo ecocardiogram ‌ nu nirvahinchavachchu ,  ikda meemu gunde dwara rakta pravahanni anchana veyavachu mariyu gunde mariyu dani kadile kawatala chitranni roopondinchavacchu .  meemu myocardial perfusion scaen cheyavachu ,  idi gundeloo rakta pravahanni kudaa anchana vesthundi .  elctron - bem computed tomography  (EBCT)  aney procedure kudaa Pali ,  idi dhamanulalo calshium nikshaepaalanu gurtinchagaladu .  phalakam ledha calshium nikshaepaalanu bahirgatam chese computed tomography angiography kudaa Pali .  meemu coronery  MRI  ledha  MRA ni nirvahinchagalamu ,  idi walve samasyalu ,  gunde vistarana ,  naalaala vyaadhi ,  debbathinna gunde kanajaalam modalaina vatini gurthinchadaaniki ayaskanta kshetraalanu upayogistundi .  chivaraga ,  meemu coronery angiogram ‌ nu kudaa cheyavachu ,  idi invasive ,  conei  “ goald staendard . ” CAD  nirdharana choose .  ging ‌ ku andubatulo unna jokyalu unnayi ,  ivi takuva invasive / thivratha nundi athantha teevramainavi varku untai .  athanu tana colastral mariyu trigliseride sthaayilaku sahayapadataniki tana adhika alkohol viniyoganni tagginchadam ,  gunde - aarogyakaramaina mariyu takuva inflammatory diet tinadam vento roejuvaarii panulanu cheeyagaladu .  roejuvaarii aspirin ,  naitretlu ,  biita blockers ,  colastral - tagginche mamdulu modalaina myocardial ischemia chikithsaku konni mamdulu kudaa unnayi .  atani paristiti chaaala teevramgaa vunte / chedipothe ,  athanu angioplasty / stenting ledha coronery artary bipass sarjareeni kudaa pariganinchavacchu .  yea jokyalu kanisam nundi athantha dookudugaa umdae kramamlo jaabithaa cheyabaddaayi .