IS KARAPETYAN'S STATE STABLE OR….?

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

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