Heart Disease Community
Dear Doc
About This Community:

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Dear Doc

After two heart attacks, I have undergone Angioplasty with stenting to proximal LAD, MID RCA and Osteal PDA with drug eluting stents in Nov., 2009. Also, I am diabetic and have had one episode of seizures (GTCS) in January, 2010 and no repetition thereafter.Presently, I am under the following medication: Valparin CR 500, Rosuvas 10 Mg, Ceruvin AF & Voglibo M 0.02.  Two days back, I had chest pain and visited a Cardiologist. After ECG and Echo Cardiograh Tests, I have been advised to take Cardivas 3.125 tablets along with the above mentoned medicines.  The Echo Test showed LV contraction, septal thinning with hypokinesia, LVEF 35%. Should I now get an Angiogram done?
Related Discussions
4 Comments Post a Comment
Blank
976897_tn?1379171202
Has a Cardiologist established if you suffered heart muscle damage from your 2 heart attacks? Your LVEF is low. Was it this low after your stents?
Blank
367994_tn?1304957193
Q: "The Echo Test showed LV contraction, septal thinning with hypokinesia, LVEF 35%. Should I now get an Angiogram done"?

An angiogram would not be a very good test to determine the underlying cause for your condition.  A perfusion stress test to evaluate blood flow or lack thereof and to what locations of the heart involve.  You have had many stents implanted and that may be the underlying cause as the stent implants may have interrupted the normal flow of blood to areas of the heart  before implants and that may have negatively effected vulnerable areas.  Or there may be some restenosis of the lumen inside the implanted DES.

The low EF (normal is 50 to 70%) and the risk of restenosis for a year has been noted by the medcial community, but plavix and aspirin should have helped, but that circumstance should be ruled out with a stress test..

For some insight, hypokinesis is an impairment of the heart wall and that would effect contractions.  It is evident the hypokinesis represents the low EF.  I had a heart issue about 7 years ago with hyponesis and low EF (below 29%).  With medication my heart size is normal and EF is 59%.  Hypokinesis is not as serious as akinesis (necrotic heart cells, dead) and can sometimes be revitialized with good blood flow to the oxygenated deficit areas of the heart.

Thanks for sharing and if you have any further questions or comments you are welcome to respond.  Take care and I wish you well going forward.

Ken
Blank
Post a Comment
To
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
Avatar_f_tn
Blank
skydnsr
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
329165_tn?1412685860
Blank
Smiley2000
Australia
Avatar_m_tn
Blank
Occupant
IL
MedHelp Health Answers
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
1236893_tn?1408490528
Blank
Dietary Fat Increases Vitamin D-3 A...
2 hrs ago by gymdandee
242912_tn?1402547092
Blank
Jade59 commented on photo
23 hrs ago
Avatar_f_tn
Blank
LPNGirl07 commented on Have to have colonosc...
Nov 25
Heart Disease Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
Avatar_f_tn
Blank
skydnsr
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
329165_tn?1412685860
Blank
Smiley2000
Australia
Avatar_m_tn
Blank
Occupant
IL