Dear Doctor,
In August I became a heart patient. I am a 44 year old female, also I am a diabetic type 2. I am about 50lbs overweight, smoker (on Chantix to quit) Family history of HD.
My echo reads like this, normal size left atrium with fairly good LV function with ef of 50%. Hypokenetic intraventricula septum and apex consistant with left bundle branch block and coronary artery disease. Enlarged left atrium,mildly thickened mitral leaflets, mild plus 1 mitral regurgitation, mild dystolic left ventricle dysfunction..
Cardiolite treadmill stress test: revealed Left ventricle conduction delay and possible old lateral wall MI, Spect at rest revealeved moderate anterpostal perfusion defect, after exercise a moderate anterpostal and fairly large apical perfusion defect. Wall motion revealed hypokenetic apex and dyskinetic septum, evidence of mydocardial ischemia involving the anterpostal and apical segments. EF 50-55%.
Chest x-ray clear but the Doc told me I have Trace Pulmonary Edemea.
High Blood pressure that we have struggled to control for about 5 years.
Heart Cath~ 60% Stenosis of mid right coronary artery, essentially normal left main left anterior desending, intermediate and left cicumflex. normal left ventricle enlargement, anteroapical hypokenesia with normal ef 50-55% and left ventricle end distolic pressure of 18 mmhg.
Cholesterol is 197, Trig~274, HDL~28, LDL~114.
Meds include Coreg, Teckturna, CCB, Lipitor, Metformin. Nitro, Renexa and some others.
How serious is this? What is my prognosis. If I try and exercise I get chest pain. Does this sound like any type of heart failure?