First of all, you say he has no symptoms? was this also the case during the stress echo when angina was produced?
When the heart was stressed, it was seen that the lower part of the heart had hardly any movement, which means it's impaired. I have no idea what "fair LV systolic function" means?
If this was my heart, I would be looking for a bit more than medication. Even before max heart rate the lower part of the heart has impaired wall movement. Haven't they suggested an angiogram or ct to see what the problem is with the coronary arteries? You can't even guess the best options until you have the full picture, and in this case you don't. I would push for images of the arteries to be taken so a proper plan of action can be focused on.
Thanks for the reply. My father is scheduled for a angiogram on Dec 20th. So from the report u can tell that before max heart rate the lower part of the heart has impaired wall movement. What is safer - stent or redo bypass if those r the options.
Besides being tired he has no symptoms like chest pain day-to-day. During stress test he did feel some pain and raised his hand as instructed.
I would be a bit surprised if they suggest a redo-bypass, in most cases they revascularise the bypass vessels, or native vessels using angioplasty. I do emphasise the word MOST, which obviously doesn't mean all. It would be total guess work to which is the safest option without the angiogram results. If depends where the blockages are, how many there are and the size of them.