Ischemic cardiomyopathy

  My husband had stent placed in 1996 for obstruction in left anterior descending artery.  After being home one day, the stent "clotted off" and he subsequently had a major MI.  He eventually underwent a bypass that summer.  His ejection fraction is 25. He is 45 years old and is now disabled.  Can you give us any ideas or options that may be available for him?  He seems to be getting weaker by the day.  He's taking Coreg, Lanoxin, Demedex, Capoten.  He takes Vitamin E, co-enzyme Q10, and iron. We are wondering if his only option is a heart transplant?
  
Dear Mari
The prescribed medicines that he is taking are all considered good medicines for heart failure. If he is symptomatic from his heart failure on an optimal medical regimen, heart transplant is an option. He would be welcome to make an appointment to be evaluated here at the Cleveland Clinic. In addition to transplants, we also conduct trials of experimental oral and intravenous medications for heart failure that he may be eligible for.
I hope you find this information useful.  Information provided in the heart forum is for general purposes only.  Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter.   The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.