A three pages report authored by Dr Fayaz Shawal stated, “… if he [Nawaz] returns to Pakistan without undergoing a definitive treatment in London, the stress of living again in a solitary confinement as well loss of a partner can further compromise his cardiac status before definitive treatment can be rendered.”
The report also recommended Nawaz to continue “routine walks in open fields as well as stress-free physical activity. The report stated that the ex-premier needed to stay close to the medical facilities he had been getting his treatment from till he gets “coronary angiography”.
It also barred him from going to crowded spaces due to Covid-19. “His co-morbidities make him a “high risk” candidate for health, respiratory failure, etc. should he contract Covid-19 infection,” it added.
The report recommended that Nawaz Sharif should remain on medical treatment in London under the care of doctors with multiple specialties. “Moreover, these facilities have provided him the best of care so far without further acute coronary syndromes which he had sustained before his arrival to London, given his complex health issues,” it added.
According to the report, Nawaz’s extensive examination in London confirmed significant ischemia — the heart not getting enough blood — in the distribution of his left circumflex artery.
“As I mentioned in my previous evaluation that he should undergo coronary angiography to assess his coronary anatomy so that appropriate therapeutic modality could be recommended before he returns back to Pakistan,” the doctor wrote.
In addition, pending his angiographic findings, he may need either complex coronary intervention or redo CABC [Coronary Artery Bypass Graft]. But due to the Covid-19 pandemic, this procedure has been on hold….”
According to the doctor, in addition to medical therapy, the former premier was placed on lifestyle changes to aid his recovery and was advised to have health diet and exercise regularly.
Similarly, he was “strongly advised to manage his stress to the maximum extent to avoid what happened during his imprisonment (had two episodes of NSTEMI [ a type of heart attack] due to stress)”, the doctor added.
The report said solitary confinement for a prolonged period will have a negative effect on Nawaz’s health, adding that the ex-prime minister was under close medical surveillance during his stay in London.
“Once COVID-19 is over he should then proceed with his coronary angiography and possible angioplasty or redo CABGS if intervention is not feasible,” it added.
Comments are closed.