I will talk to my cardiologist about EECP although I have a feeling my insurance wouldn't cover it. I'm in Calif so the Texas trial may not be for me but I'll look for it.
Thanks
Have you talked to your cardiologist about EECP therapy? Also, you may be a candidate for a study (not sure if they are still enrolling or will be enrolling) at the Texas Heart Institute where vessel growth factor is used to increase collateral growth.
From memory my blood pressure readings have been in the range of 120-130/70-85 for years. Nurses usually say it looks good when they measure it. The 100/60 average has been since I started taking Diltiazem although today (3 measurements) it is averaging 112/65 and pulse of 48. The stress echo operator estimated my ejection fraction at 50%. My GP doesn't think I am a candidate for a pacemaker but perhaps I'll talk to him again. Why would angioplasty be risky?
Thanks
You forgot to mention what you heart systolic function is: is it decreased or normal. This is important because with a normal ejection fraction and no significant ischemia there may not be much to be gained by the risky angioplasty. We have several cardiologists who perform this sort of difficult intervention at the cleveland clinic: Dr. Whitlow,Dr. Franco and Dr. Kapadia being among the best known and most successful, and if you want their opinion feel free to schedule an appointment.
In addition to your medical therapy a long acting nitrate such as imdur or isordil, as well as increasing the aspirin to 325 daily.
Your fatigue may be related to your slow heart rate. Has anyone thought of placing a holter monitor to see if you suffer from chronotropic incompetence, and perhaps could benefit from a dual chamber pacemaker?