A Prospective randomized controlled study conducted in the department of Cardiology in a tertiary care hospital in South India. The study included patients undergoing diagnostic coronary angiography and percutaneous coronary intervention (PCI) with trans-radial access. Patients were randomized to either administration of sedation and analgesia (Treatment group) or no procedural sedative/analgesic (Control group). In the treatment group, Inj. Fentanyl 0.5 mcg/kg and Inj. Midazolam 1 mg slow intra...

Angiography revealed significant lesions in the left main, left anterior descending, and left circumflex arteries, while the right coronary artery showed diffuse atherosclerosis but no significant stenosis. Echocardiography confirmed acute ischemic changes. Due to the extensive CAD and high-risk profile, percutaneous coronary intervention was deemed unsuitable, and CABG was performed using a radial artery graft....