My sister is in her mid-50's, is diabetic and after a week of on and off indigestion, the discomfort increased one night. the next day she felt better, but discomfort returned. She went to the closest small hospital and had a "questionable" EKG. After bloodwork came back clear, she went home. Two days later, a cardiologist told her she had a recent heart attack, with substantial damage and put her on a beta blocker and sent her home. Five days later, she had an a nuclear stress test and stopped the beta-blocker(it wiped her out) and was put on ACE inhibitors. The stress test showed the heart attack was in the front of the heart( descending aorta) with an ejection fraction of 30-35%. Three days later, she had an ultrasound and returned home. Four days afte that, she had an angiogram, which showed two blockages and additional damage in the middle of the heart as well as the front. Her ejection fraction showed to be 25-30%.
She was taken off the AC inhibitor and is now at home, not on medication, and awaiting an appointment seven days after angiogram, to discuss bypass versus angioplasty. My questions are:
1. Should she be on medication now?
2. Is bypass a better solution for her situation?
3. What are the risks for each?
4. What information tells me that her doctor's institution is experienced?
We all want to help her.