Improved angiographic findings in a high risk acute coronary syndrome patient after modest weight reduction, regular exercise and medication: A case report and literature review

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Gumpanart Veerakul, MD
Thadchai Kitkungvan, MD
Nirmal Bhatia, MD


A 55-year-old, morbidly obese man body weight (BW) of 104 kg, body mass index (BMI) of 30.5 kg/m2 with known history of type 2 diabetes mellitus, hypertension, dyslipidemia and primary hypothyroidism, presented with acute chest pain and heart failure in 2007. Frank pulmonary edema and cardiomegaly were documented from admission chest film (Figure 1). The electrocardiogram (ECG) (Figure 2) showed sinus tachycardia, left atrial enlargement, tall R in V2 with ST depression in V2-4, Q wave and mild ST segment elevation in inferior leads.

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Veerakul G, Kitkungvan T, Bhatia N. Improved angiographic findings in a high risk acute coronary syndrome patient after modest weight reduction, regular exercise and medication: A case report and literature review. BKK Med J [Internet]. 2012 Sep. 20 [cited 2024 Mar. 2];4(1):50. Available from:
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