overall situation of my foather

Dear sir:

the following is the test we have done for my father.
tell me about my father and his overal condition and taking care of him.


NUCLEAR CARDIOLOGY
DEPARTMENT OF CARDIOLOGY
LADY READING HOSPITAL PESHAWAR

Tc-99m GATED MYOCARDIAL PERFUSION SPECT
(SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY)

SEX: MALE                                  AGE: 55 Yrs                 Date: 04-03-2011
                                            
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Clinical History:     patient is known case CAD. History of STEMI. Presented with chest pain and SOB on exertion. Echo (27-07-2010) Regional wall motion abnormalities, LV dysfunction (FS-17%). C.Angio (18-02-2011) : LAD: this vessel has Osteal to proximal 20-30% lesion and then totally occluded, RCA: fills LAD retrogradly.

Protocol     REST STUDY PROTOCOL WITH NITRATE FOR VIABILITY

            Procedure     patient was administered sublingual nitroglycerine followed by 25mCi (925  MBq) of Tc-99m MIBI injected intravenously. Gated SPECT imaging was done one hour later.

Gated SPECT  Overall quality of the study is good. There is evidence of marked left ventricular cavity dilatation.
Findings
SPECT images demonstrate absent to severely reduced tracer uptake in apex (anteroapical and inferoapical), anterior (apical and mid), anteroseptal (apical, mid and basal), inferoseptal (apical, mid and basal), apical inferior, apical inferolateral and apical anterolateral segments.
There is moderately reduced tracer uptake in basal anterior and inferior (mid and basal) segments.
Rest of the myocardial segments show good tracer uptake.

GATED IMAGES         Decreased wall thickness in apex, septum, apical ½ of anterior and apical 1/3 of  inferior and lateral walls. Akinesia of apex, septum, apical 1/3 of anterior, inferior and lateral walls. Rest of anterior and inferior walls are hypokinetic.
LVEF: 30% EDV: 177ml.  ESV: 124ml.


IMPRESSION:    

• large transmural infarct (scar myocardium) involving apex , apical ½ of    anterior wall, septum and all other apical segments.
•    Marked LV cavity dilatation.
•    Myocardial viable territories:
LAD: 1/10 (10%)
LCX: 4/6 (67%)
RCA: 2/4 (50%)



The doctor administrated the following medicines

1-    PROGREL   -   AP           one tablet per day

2-     NICOGET                       tow tablet per day

3-     LASORIDE    10 mg      one tablet per day

4-    RAST              10 mg      one tablet per day

5-     CORBIS         2.5 mg     one tablet per day

thank you in advance.

[Mom2four85]

you may want to keep trying to post in the expert forum where a doctor can read this: http://www.medhelp.org/forums/Heart-Disease/show/114

sorry to hear about your father, good luck to you and your family =)