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72 years old with heart blockages and 35% LVEF
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72 years old with heart blockages and 35% LVEF

I am 72 years old
Recently, I took ECG, Echo cardiogram, Angiography and blood tests. They revealed the following
ECG showed variations . Doctor thinks that I have already had one attack
Echo cardiogram revealed that the Left ventricular Ejection fraction (LVEF) is approx 35%
Blood test shows LDL cholestrol- 179 and HDL cholestrol- 44. BP (140/70)- under medication. Not diabetic
Angiography revealed that
• Right coronary artery is Normal
• Left Anterior descending artery- Proximal and mid Left anterior descending artery (LAD) shows 80% long segment stenosis. Diagonals and septals are normal
• Left circumflex artery- Co-dominant vessel. LCx is normal. Proximal OM shows 70% stenosis. PLV is normal
• Right coronary artery- Co-dominant vessel. RCA is normal. PDA is normal
• LIMA- Normal
Conclusion from angiography-    Coronary artery disease. Double vessel disease.
Doctor is thinking between Bypass and Angioplastry. As per doctor, angioplastry might be difficult to do on the left circumflex artery as the block is in a corner.
The decision also depends on what the chest physician recommends as I have a history of bronchitis.


What  do you recommend I should do in such a situation? Is LVEF of 35% normal at my age. should i go for angioplastry or bypass or is just medication fine with lifestyle changes?







976897_tn?1379171202
Hi
   No, 35% is not normal at any age. I don't think you've had a previous heart attack from the angiography report, there are no total blockages. Your low EF is probably due to the severe disease in the LAD. If I was the one making this choice, I would seriously consider avoiding bypass. I say this because of your history of bronchitis. You don't want to end up on a life support machine with the possibility of not pulling through. I've seen this a few times, it only takes a small amount of infection in your lungs, and it will take over. Yes the LCx is in a bit of a tricky location, and there is a higher risk in that position that it will re-block. But, if you don't smoke and eat a healthy diet you will really reduce that risk.
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