UJing uyindoda eneminyaka engu-46 ubudala. Ungumphathi wama-inshuwalense oshadile onezingane ezimbili. UJing uyasebenza esontweni lakhe futhi udlala igalofu ngezimpelasonto. Waya kudokotela wakhe wezinhliziyo ngoba wayesanda kuba nokukhathala nobuhlungu esifubeni ngenxa yokuzikhandla. Akakaze abheme kodwa uphuza isiphuzo sotshwala esisodwa noma ezimbili ngosuku. Umlando wakhe wezokwelapha wembula izinga le-cholesterol yegazi elingu-260 mg%, izinga le-triglyceride elingu-198 mg% kanye nenani le-HDL-C elingu-43% mg%. Ngemva kokutadisha i-ECG yezinhlangothi ezingu-12 yenhliziyo kaJing, kusobala ukuthi inhliziyo yakhe ayisebenzi kahle. Phakamisa ezinye izivivinyo zokuhlolwa kokulandelela nokungenelela okunconywayo.
Kunezinketho eziningi zokuhlolwa kokuhlolwa kokulandela. Ngokwesibonelo, singenza i-echocardiogram nge-Doppler enemibala, lapho singahlola khona ukugeleza kwegazi enhliziyweni futhi sakhe isithombe senhliziyo nama-valve ayo ahambayo. Singenza i-myocardial perfusion scan, nayo ehlola ukugeleza kwegazi enhliziyweni. Kukhona nenqubo ebizwa ngokuthi i-electron-beam computed tomography (i-EBCT) engathola ama-calcium deposits emithanjeni. Kukhona futhi i-computed tomography angiography eveza ama-plaque noma ama-calcium deposits. Singenza i-coronary MRI noma i-MRA, esebenzisa amasimu kazibuthe ukuthola izinkinga zamaphayiphu, ukwanda kwenhliziyo, isifo semithambo yegazi, izicubu zenhliziyo ezilimele, njll. Ekugcineni, singenza i-coronary angiogram, engahlaseli, kodwa 'eyindinganiso yegolide' yokuthola i-CAD. Kunezindlela zokungenelela ezitholakalayo kuJing, ezisukela kokungenelela okuncane / okunamandla kuya kokunamandla kakhulu. Angenza izinto zansuku zonke ezinjengokunciphisa utshwala abuphuza kakhulu, adle ukudla okunempilo okusiza inhliziyo futhi okungabangela ukuvuvukala okuncane ukuze asize amazinga akhe e-cholesterol ne-triglyceride. Kukhona nemithi ethile yokwelapha i-myocardial ischemia efana ne-aspirin yansuku zonke, i-nitrate, i-beta blocker, imithi ehlisa i-cholesterol, njll. Uma isimo sakhe sibi kakhulu / siba sibi kakhulu, angabheka i-angioplasty / stenting, noma ngisho nokuhlinzwa komthambo we-coronary bypass. Lezi zindlela zokungenelela zibalwa ngokulandelana kwazo kusukela kwezinga eliphansi kakhulu kuya kwelizishisa kakhulu.