CLINICAL CASE OF ACUTE CORONARY SYNDROME IN THE PRESENCE OF METABOLIC SYNDROME

Shoalimova Zulfiya Mirabitovna*, Jalilov Shamshodbek Zokirjon o’g’li, Nurillaeva Nargiza Muhtarkhanovna, Nasretdenova Dildora Odilovna

ABSTRACT

Patient M., 55 years old, employed Medical Record No. 3168/09
Date of Admission: 28.05.2023 Date of Discharge: 09.06.2023
Complaints on Admission: Severe constricting chest pain radiating to the left shoulder blade, palpitations, marked weakness, and sweating.
Medical History: The patient has had arterial hypertension for 7 years, with a maximum blood pressure (BP) reading of 170/100 mmHg, typically controlled at 130/90 mmHg. She has experienced exertional angina (Class II) for approximately 2 years. She denies any history of myocardial infarction (MI) or cerebrovascular accidents (CVA). She has been hospitalized twice for exacerbations of coronary artery disease (CAD), diagnosed as “unstable angina,” and has refused the recommended coronary angiography. Her outpatient medications include Arifon Retard 1.5 mg, Thrombo ASS 100 mg, Enalapril 10 mg/day, and sublingual Isoket spray for angina attacks. She denies diabetes mellitus or other glucose metabolism disorders and does not monitor her blood glucose levels.

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