We came across a 74-year-old gentleman with diagnosed Immune Deficiency Syndrome (HIV status positive) suffering from unstable angina, who was declined of treatment at other hospitals by other doctors for his heart condition, due to his HIV status. He was diagnosed with HIV-positive status almost 25 years back.
On looking at his condition, we decided to do his Coronary Angiography and found that he was suffering from critical triple vessel coronary artery disease (critical disease in all three heart arteries) including a critical disease in the Left Main Artery (LAD).
We decided to fix his problem by doing coronary angioplasty. Four stents in total were placed inside his coronary arteries resulting in a very good outcome the patient was discharged on the same day in the evening and is doing well with this timely treatment at the end of 4 weeks today.
The question here is, for an otherwise physically active individual should we be declining such a fruitful therapy that can turn around patient’s quality of life, just based on his retro-viral status?