Former prime minister Nawaz Sharif, who has been in London for more than a year on health grounds, submitted a fresh medical report signed by Dr David Lawrence, a cardiothoracic surgeon, before the Lahore High Court (LHC) on Wednesday.

According to the three-page report by the doctor treating Nawaz, he [Nawaz] is barred him from travelling, visiting public places and staying “very close to healthcare facilities where he is currently under treatment”.

The report was submitted a week after the UK government rejected a plea filed by him seeking an extension for his stay in London.

In the report, Dr Lawrence said Nawaz was under his “treatment and medical supervision intermittently since 2016″ when he performed a coronary artery bypass surgery on the former premier.

“In November 2019, he was referred…for treatment because of unavailability of specific expertise, technologies, and techniques to treat his diseases along with co-morbidities and associated complications,” the report said, adding that Nawaz has “complex and complicated” medical issues.

“Great care needs to be exercised in dealing with each of the disease and comorbidities he is suffering from in order to maintain the right balance,” Dr Lawrence wrote in the report.

At present, an experienced team of haematologists at the Guy’s and St Thomas Hospital and the cardiologists at the Royal Brompton and Harefield Hospital are looking after Nawaz in London, the report added.

“Prior to this latest referral Mr Sharif has been getting treatment here in London for many years,” it said.

The medical report further said: “In London, Mr Sharif underwent extensive medical investigations and scans, including periodic laboratory assays – Rubidium-82 Cardiac Perfusion PET-CT scan (Rest & Stress), echocardiogram and 24-hours Holter analysis. He had an echocardiogram showing left ventricular hypertrophy and dysfunction (EF 49%) and Aortic Valve Disease (mild AS) and 24-hour Holter analysis [was] reported abnormal with conduction defects (first degree AV Block & BBB morphology) having occasional law atrial rates, aberrant conduction, and ectopic activity.”

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