47 yo male, hx of CAD and MI at age of 39 with stent placed in pda (8/03). In (7/05), Nuc study revealed small area of ischemia and global hypokinesis in inferior wall. Now, 12/2010- EF of 48 percent with inf wall hypokinesis to akinesis. Data demonstrates large inferior wall perfusion defect which is predominately fixed. There is a small amount of reversibility at edges, in particular, inferolateral and inferoseptal wall that may be consistent with peri infarct ischemia.
Symptoms currently: shortness of breath with 1 flight of stairs, carrying groceries, mid thoracic back pain at
rest (more frequent/intense) since MI, fatigue, with challenges getting through the work day because of fatigue.
scheduled to see cardiologist. cath has been recommended by cardiology friend.
? bypass surgery for RCA-