SEVERE HYPOKINESIA OF INFERIOR WALL AND ANTERIOR WALL

[vinuidukki]

My father had severe chest pain last week and doctor advised us to take "echocardiography",
The conclusion of that report is
CAD MILD MR
SEVERE TR MODERATE PAH  PA PRESSURE = 48 MMHG
SEVERE HYPOKINESIA OF INFERIOR WALL AND ANTERIOR WALL
LVEF 33%

NO LV CLOT
IMP ISCHAEMIC CARDIOMYOPATHY WITH POOR LV FUNCTION WITH MODERATE PAH,

Could you pls tell me what medicine he should take and how long will he live?

Thanx in advance

Vivek

[ed34]

Is his cardiologist actually qualified? I think it's terrible that he has received such bad heart management and been able to slip into such a bad condition. Why mention surgery when the heart is too weak, why did they wait so long? This is why I get wound up when people say leave things alone, nobody knows the long term outcome if you don't give the heart help to recover in the earlier stages.
All you can do is see what effect the medication has, and hopefully his heart will recover just enough for intervention. Have they got the blood pressure under control? this is very important.
He is still young and this really saddens me. One important aspect you could obviously deploy, are lifestyle changes. Make sure he eats only healthy foods, avoids any cigarette smoke, and avoids stressful situations. If things do worsen, they could consider using an assist pump. In the UK and across Europe, these are used to try and keep patients alive long enough to receive a transplant. BUT, in many cases, it is found that the pump allows the heart to rest sufficiently to significantly recover, enough for surgery. With his EF getting low, they should also be considering an implant of an ICD, which will shock the heart if it gets too far out of rhythm or stops. These devices have saved many lives.
I'm really sorry that I have nothing else to suggest.

[vinuidukki]

Dear ed34, thank you for ur advice. He had one heart attack b4 3years, den the doctors told me that der is some blockage in heart and medicine will cure dat. Now also he is taking those medicine. Now the doctor says that a surgery is impossible due to his week body conditions, he is now 66. Will medicines other than surgery do any improvement?

Vivek

[ed34]

normal pulmonary artery pressure at rest is around 18-25mmhg so 48 is very high.
The walls of the left ventricle, both front and rear, are seriously impaired. Due to the
left ventricle not contracting and relaxing properly, the output is only 33%.
I suspect the cardiologist will want to do more investigation and perhaps look for ischemia (blocked vessels). In the meantime, beta blockers would be advisable and anticoagulants.
With regards to life span, this is impossible to comment on. However, it is likely that some form of surgery could improve matters, such as stenting or bypass. It sounds like he may have suffered a heart attack with the chest pains. Have they not done anything further for him?
They need to look into the cause of his pulmonary high pressure also, which could be a few things.