Vintage Soda Collectibles

CABG or angioplasty? 60 years of age?

Precath Diagnosis: CAD - ANTERO RECENT MODERATE septal left ventricular dysfunction MI diabetes hemodynamic SUGAR DATA: FA AO 125/71/90 mmHg mmHg HR 65 BPM Flouro time 0.30 min coronary angiography data LMCA: Normal LAD: ostio - FDA Total proximal cut and filled by retrograde collateral grade III RAMUS LCX: 50% stenosis LCX: Co-dominant - Normal PLVB - Normal OMsNormal CAR: Co-dominant proximal and mid RCA plaquing mild to moderate left ventricular dysfunction by myocardial SPECT Echo NTG SCANFINDINGS INFUSION INCREASES OVERALL ENTRY: Good Size of left ventricle: Slightly dilated MYOCARDIAL THICKNESS: Normal in the bottom wall and side wall Global LV function: moderate dysfunction; EF = 44% LAD Terriotory SEGMENTAL RESULTS: Previous: distal half of moderate defects; activity is 40-50%; WTPreserved septal: Failure IVC moderate, moderate activity is 31-50% NTEROLATERA default activity 41-50% overlap of segments Apex: serious defect with activity <30%

I wonder if medical therapy could be better here? If something must be done, it looks like angioplasty or stenting may be an option, but I'm not sure it would be necessary? There is only one artery is occluded (DAL) and this area is supplied with oxygen by the collateral circulation of the circumflex artery. The branch is blocking moderate, but probably not impede the flow of blood / oxygen to that area. Did they do a FFR (fractional flow reserve) to see if it was limiting flow? CAN has no plate light, so no need to bypass or stenting it. your heart muscle is a little weak, but there are medications, they may prescribe which can help reduce the workload of your heart. What does your doctor say?