global hypokinesia

[avantika]

my grandfather is 79 years old. this is the echo report done on 11-04-09. he has global hypokinesia, pericardium normal ,LALV dilated, LVEF 27.8% ,LALV clot absent. patient is dibetic since 35 years and he has pacemaker from last four years.he had his angiography 4 years back then he had been diagnosed as mild LAD disease and his ejection flow was 40% that time, but he had no treatment but from last three months when he started having dyspnoe he consulted an MD medicine who did his ECHO and found that he has LALV dilated, LVEF 27.8%, LALV clot absent and told the patient that he is having global hipokinesia. treatmwent given is - lasilactone 50mg, lanoxin, nitrocontin, ranojex. patient has respiratory allergy problems due to pollens in feb-march.
i want to know prognosis of this patient and whether the treatment is correct or not and whether the patient should keep oxygen cylinder  and what precaution he should take.

[kenkeith]

Hypokinesia is a impairment of heart cells resulting in less than normal contractility of the left ventricle to pump blood into circulation (akinesia would indicate the heart cells are dead).  Normal ejection fraction (percent pumped with each heartbeat) is an EF of 55-75%.

Treatment would include medication to reduce the heart's workload such as dilating vessels, reduce blood volume, stablize the heartbeat,  With successful treatment the LALV may return to normal size and an increase in the EF..