Musharraf suffers from 9 conditions: Dunya News obtains medical report

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Musharraf suffers from 9 conditions: Dunya News obtains medical report

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ISLAMABAD: (Dunya News) - According to medical report submitted to the court today, former president Pervez Musharraf suffers from at least nine medical conditions, Dunya News reported.

As per the medical report, first obtained by Dunya News, Musharraf s left arteries are blocked and his left shoulder isn t working properly. Report also says Musharraf suffers from problems in left knee and spinal cord.

Former president also suffers from hyper-tension, the report says.

The report was submitted to the special court hearing Pervez Musharraf s treason trial in a sealed envelope earlier today. Court is due to rule on this matter on January 9.

Earlier today, the court had adjourned the hearing until Wednesday to allow time to assess the doctors report and said defense and prosecution teams would receive copies.

Judge Faisal Arab, who heads the three-member bench, told the court Tuesday: "We will give an opportunity to both sides to examine (the report) and then we will decide accordingly."

Ahmad Raza Kasuri, a lawyer for Musharraf, told reporters that owing to the complexity of the medical issues the matter could only be debated once both sides had been given time to assess the report.

According to sources, the medical report revealed that three valves of Musharraf’s heart are blocked while he is suffering from kidney disease as well.

The medical report was prepared by senior doctors of the Armed Forces Institute of Cardiology (AFIC).

It is pertinent to mention here that the special court had demanded a report on Musharraf s health condition to explain his continued absence from proceedings.

The 70-year-old former president was rushed to a military hospital on Thursday after falling ill while being taken to hear treason charges against him at the tribunal in Islamabad. Musharraf s camp says the treason allegations, which relate to his imposition of emergency rule in November 2007, are politically motivated and his lawyers have challenged the authority of the tribunal.

Contents of Musharraf s medical report as received by Dunya News:

CONFIDENTIAL

ARMED FORCES INSTITUTE OF CARDIOLOGY (AFIC) RAWALPINDI

Subject: Medical Report in Respect of General ® Pervez Musharraf

Registrar Special Court Islamabad letter number Judi/Medical Report/Spl Court/32/2104 dated 6 January 2014 refer.

 1.                                     Case History

a.         General 0 Pervez Musharraf, 70 years of age, presented to the emergency department of this hospital with uneasiness in the chest, sweating and discomfort in left arm at 12.15 PM on 2 ^d January 2014.

b.         He was non diabetic and normotensive. He was a smoker. His father had died of coronary artery disease.

c.         He had recurrent discomfort around the left shoulder joint and had suffered from frozen shoulder left in the past. He had also been suffering from intermittent pain and stiffness of the lower back due to lumbosacral spondylosis. His sleep was disturbed on account of nocturia ( 1-2 times per night) because of an enlarged prostate. He had dental treatment ( root canal and crowning) of right lower mandibular teeth two weeks before admission. Following this procedure, he had developed pain in the left temporo mandibular joint which was still persisting.

2.          Initial Examination

a.         On physical examination, his pulse was 56 beats per minute ( sinus bradycardia) and blood pressure 120/80 mmHg.

b.         Examination of cardiovascular and respiratory systems revealed no abnormaiity. There was swelling and tenderness of the left knee joint. Rest of physical examination was unremarkable.

c.         ECG carried out at emergency department revealed sinus bradycardia.

 3.                                        Emergency Treatment

He was hospitalized in coronary care unit and emergency treatment was started. on the lines of acute coronary syndrome, including subcutaneous injection fondaparinux 2.5 mg daily and oral aspirin, clopidogeral, atorvastatin, nitroglycerin, esomeprazole, bromazepam, oxygen inlalation and bed rest.

CONFIDENTIAL

T ESTED

1.

°⁷

Registrar, Special court, Islamabad

Established under Act XVII of 1976

CONFIDENTIAL 4.              Investigations and progress

a.            Echocardiography revealed normal sized carlac chambers, no segmented wall motion abnormality, good left ventricular systolic function with ejection fraction of 60%, grade 1 diastolic dysfunction and normal heart valves.

b.            24 hours holter electrocardiography revealed heart rate ranging from 49 to 97 beats per minute and ventricular premature beats.

c.            He had raised serum total cholesterol (218 mg / dl ) and LDL cholesterol (150 mg/dl). Other laboratory investigatons including serial cardiac enzymes, blood sugar, Serum urea, Creatinine, Sodium, postassium, prostate specific antigen, bilirubin, ALT and Uric Acid were within normal limits.

d.            During the course of his illness, his chest uneasiness settled but he complained of neck pain, backache, pain left knee joint and discomfort in the left temporomandibular joint.

e.            He was examined by the orthopedic Surgeon. There was tenderness in bicipital groove due to biceps tendinitis. External rotation of the left shoulder joint was painful and diminshed. X-ray knee joints revealed bilateral degenerative changes more - pronounced on the left side with left knee joint effusion. MRI left knee confirmed the presence of joint effusion and osteoarthritic changes. He advised tablet naproxen 500mg BID, ultrasound physiotherapy left shoulder and local application of Fastum gel.

Spinal surgeon examined him and found restricted movements of cervical spine. X-ray cervical Spaine revealed findings of cervical spondylosis. Plain MRI cervical spine revealed central disc bulge at Q2-C3 and C3-C4, right para central bulghe at C5-C6 causing thecal sac compression and central bulge at C6-C7 level. Cervical spine exercises and physiotherapy were advised.

gDental surgeion advised to continue analgesic therapy for pain in

the left temporomandibular joint.

h.Ultrasonography abdomen, kidneys, urinary bladder and prostate •

revealed benign prostatic hyperplasia (74 grams prostate ) for which urologist advised to continue Capsule Flowmax and Tablet Avodart.

CONFIDENTIAL

ATVEsTgp

^{49; WW}- 2 ⁴-¹

¹/XM⁹

Registrar,  Special Court, Islamabad

Established under Act XV11 of 1976

CONFIDENTIAL

Routine frequent daily checkups by the team of senior Cardiologists continued. Further detailed investigations were carried out and treatment was altered accordingly.

Multislice CT angiography revealed densely calcific Triple Vessel Coronary Artery Disease including left mainstem disease (calcium score: total 851.3; left mainstem (LMS) 20.6, left anterior descending coronary artery (LAD) 499.9, left circumflex coronary artery (LCX) 239.6, right coronary artery (RCA) 91.2).

LMS:          Dense calcification at ostium and distal left mainstem

extending into LAD and LCX arteries.

LAD:                     Dense calcification throughout proximal course extending to

mid course obscuring the underlying lumen. Another spot of dense calcification distally.

LCX:                Dense calcification in proximal course obscuring underlying

lumen. Moderate narrowing present beyond the calcification area. Another segment of dense calcification in the mid course.

RCA:                  Dominant vessel, spotty calcification in proximal, mid and

distal course. Subcritical disease in proximal course.

Diagnosis. Densely calcific Triple Vessel Coronary Artery Disease including left mainstem disease.

5.                    Diagnoqs. In view of the above, he was diagnosed to be suffering from:-

a.          Densely calcific Triple Vessel Coronary Artery Disease including left nnainstem disease.

b.          Hypercholesterolaemia.

c.           Cervical spondylosis.

d.          Lumbosacral spondyiosis.

e.         Biceps tendinitis

f.           Frozen shoulder (left).

9.                                                      Osteoarthrosis with effusion (left knee joint).

CONFIDENTIAL

h.                                                 Temporomandibular Arthralgia (left).

Benign Prostatic Hyperplasia.

6.            He is presently undergoing treatment for the above mentioned diseases.

7.            Coronary Angiography is required to optimize the management and to ascertain the possibility of further interventions, like coronary artery bypass surgery.

8.            Forwarded as desired by the hon able court, please.

Major General
Commandant and Executive Director AFIC
(SM lmran Majeed)

• ATTESTED

6₇

y

Registrar, Specialtourt,isranuroa.^:

Established under Act XVII of .1976

Case No. 1109! stat dated 7 January 2014