IS KARAPETYAN’S STATE STABLE OR….?
A1+
[06:51 pm] 16 May, 2008
Dr. Armen Gasparyan physically examined the patient-the chairman
of the "New Times" Political Party Aram Karapetyan, performed ECG
and found ischemia in the septum and posterior wall of the heart,
signs of left ventricular hypertrophy and bradicardia (58-62 per
minute). Blood pressure – 160/115 mm Hg with frequent raises up to
levels specific for hypertonic crisis (diastolic or inferior blood
pressure of 120 mm Hg). The patient had complaints of chest pain
suggestive of cardiac origin, dizziness and headache related to raise
blood pressure. Over the passed few weeks patient lost about 6,5 kg of
body weight suggestive of metabolic disorders which were not related to
the changes of food intake (consumption of meals was satisfactory over
the whole period of staying in the penitentiary unit). It had been also
revealed that the patient was exposed to a number of cardiovascular
risk factors which indicated high risk of cardiovascular events like
myocardial infarction and stroke. Of these risk factors, first of
all should be mentioned prediabet (?, fasting serum glucose level
of 7,7 mmol/l), exposure to passive smoking, hypokinesia, intensive
psychoemotional stress, familial predisposition to premature ischemic
heart disease and diabetes. Based on the mentioned diagnosed was made
– Arterial hypertension, II stage, course with hypertonic crises,
Ischemic heart disease (?). The recommendation was to continue
investigations at the specialized cardiological hospital equipped
with modern tools of instrumental diagnostics allowing to examine
coronary vessels (coronarography). It should be also noted that in
penitentiary conditions it was impossible to normalize blood pressure
with antihypertensive drugs for oral intake. Besides, all the above
mentioned risk factors could further worsen condition of the patient
and cause myocardial infarction or stroke. There was discrepancy
between the recommendation made by independent examiner-cardiologist
Gasparyan and that made by physicians of penitentiary unit. The
latter ignored the necessity to transfer the patient to cardiological
hospital which is absolute ignorance of high cardiometabolic risk to
which the patient is being exposed. Eventually, the administrative
decision was made to refer the patient to cardiopulmonary department
of Erebouni Medical Centre and monitor his condition there. This
morning it was also decided to perform coronarography (by head of the
unit of cardiopulmonary at the Erebouni Medical Centre). It is hoped
that the patient will be treated properly based on his heightened
cardiometabolic risk and all further therapeutic and diagnostic
decisions will be made to avoid occurrence of cardiovascular events
(myocardial infarction and stroke) in the near future. The "New Times"
Political Party needs support of doctors. We call them to act only
with human inducements taking notice to the danger, which now threatens
the health of a person.
Press Department of the "New Times" Political Party