Genetic Heart Disease

Posted By CAP on March 18, 1999 at 18:34:23:







Pt is 56yo male with genetic heart disease.  Post CABG x5 (2 mammaries, radial and sequential vein), MI on table, sequential graft to circumflex failed immediately post-op.
Echo @ 6wks showed posterior wall down with episodes of non-sustained V-tach.
EP study and AICD. Angina post-op until angioplasties and stent to Circumflex  @ 6mos post-op.  Anastomosis of mammary to LAD found to be sutured 95% closed.  
Some angina with Thallium stress @ 6mos post stent.  Now 9 mos post stent and SOB is increasing as well as Angina.
Cardiologist just added 25 losartan and changed toprol from 50 to 25.
Other meds Folic Acid and aspirin. Imdur 50.  All QD.
BP runs 104/68.  Non-smoker, 5'8', wt 155 and active.
Should angio be repeated?  Can this be treated more aggressively?
Are there any on-going studies for Genetic Heart Disease at CCF?
Thanks in advance for any help available.