Background;
44 year old male, fit, non smoker
1st heart attack at 26, no treatment
2nd heart attack at 43, CAD, cabg for 100% block right artery, 90 percent left main, 40% block main artery not able to operate upon as well as a borderline EF 40% and LA dysfunction
Since then heart flutters, recurring low blood pressure, angina, some shortness of breath, in hospital 3 times for various bouts of numbness in arms, jaw, flutters etc, sinus brachycardia
Latest echo
left ventricle size normal, overall function well preserved. focal region of dyskenisis involving basal septum and akinesis of basal inferior wall, EF is normal
Left Atrium at 4 cm, upper end of normal
tricuspid valve regurgitation identified
What do you think?