hello , we appreciate to answer my request: the Patient need to find answers to his following concern:
1- What was the reason for this raised enzymes that affect the cardiac for the next time
2- Is there any way to raise the Ejection fraction to be 50% or above
3- Can the Patient make another bypass surgery
4- Overall , what can be done with Patient to perform his cardiac activity
Description: the Patient IS 61 YEARS old , heavy smoker , who underwent a coronary artery bypass surgery in 2001 wherein he received one vein graft to diagonal, PDA and marginal and one LIMA to LAD
Current: the Patient has continued smoking for the last 11 years and presented with abdominal pain raised enzymes and ST depression which resolved with nitroglycerin echocardiogram showed wall motion abnormalities in the lateral and posterior territory and was referred for cardiac catheterization
1- Cathlab report: COR ANGIO–coronary angiogram(find the attached full and detailed report)
showed that Left main coronary artery, Left anterior descending artery, Left circumflex coronary immediately occluded and the vein graft stump is seen in the aorta occluded and there is no flow to the circumflex and the right coronary artery area except through the LMA and LAD collaterals but this vessel is excellent with an excellent anastomosis it also shows that the Right coronary artery the vein graft stump is seen in the aorta occluded and there is no flow to the circumflex and the right coronary artery area except through the LMA and LAD collaterals. None of the vessels are even amenable to PCI.
2- Blood test ( please find the attached full and detailed report )
Showed that most of the test are normal but calcium total (result 2.13, range 2.15-2.55) and platelet count (result 144, range 150-500) are low abnormal
3- Echo report ( please find the attached full and detailed report )
Showed the following:
a. (EF) Ejection fraction : 35-40%
b. Chambers: RV and RA: are normal size and function, LA: dilated, LV: mild degree concentric left ventricular hypertrophy. No SAM, mildly dilated left ventricular activity.
c. Valves : PV: structurally normal , TV :structurally normal with trivial tricuspid regurgitation , AV mildly thickened sclerotic, no significant gradient across, MV: mild mitral regurgitation center jet
d. Pericardium : normal Pericardium with no effusion
e. Vessels : aorta : normal aorta root , IVC : Normal size
Advice: patient need aggressive medical therapy and quit smoking which he already did
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.