My dad had a heart attack 13 days ago

[Remix90]

My dad had an heart attack on 14th Dec.His angiography and echo test results are as follows-
Angiography
LM - n
LAD Type 3
[P]- proximal tubular 80-90% stenosis
LGx- non dominant normal
RCA - Dominant normal

Echo- VEF= 25-30%
no PE/veq/vsr

Doctor has discharged my dad 2 days ago after giving medicines - beta blockers and lasilactone.

He has requested for PET scan for viability check.

Kindly let me know what can be understood from above test reports and how bad is his condition?

[tacolino]

Hi there. Im sure you are very worried and scared, its totally understandable. The doctors should be able to get him back on the right track.

His EF of 25% could be caused by a number of factors, so a few questions:
Has he ever had  any Kidney problems?
What was his blood work tests like?

How has his BP numbers been? Any Hypertension?

Hypertension can be a factor in reducing EF over time if its left untreated, which is why I ask this.

If this was a factor, the EF would have a good chance of improving over the next couple of months , following control of the Hypertension.

Its probable that the LAD blockage could be stented, but his Cardiologist is the only one who could advise on this.
Some centres can even stent total occlusions these days, so it may well be possible.

A further query to check out;
Had your father suffered from Odema prior to the MI?
Had he any Adrenal gland issues in the past?

I just ask the above on the observation of the medication he has been prescribed.The Beta blocker slows the heart.
The other one is a dual action medication. Both parts of it treat fluid retention, but the Aldactone is also used to treat aldosterone issues( These are treatable Adrenal Issues that can effect BP sometimes, hence my earlier Adrenal question)

Hopefully things will settle for you all fairly quickly.
Best wishes

[erijon]

I fully understand your situation being the primary care provider for my 86 year old father with a history of 2 MI's (one 6 weeks ago) and a 5 way CABG. The main issue I see is an EF% under 30% which means his heart is very weak most likely due to a big hit from the MI causing some serious damage. The question is how much of his heart muscle was damaged permanently and how much was "stunned" will come back which is what the PET scan will answer. They will compare it to one taken at the hospital and see if there has been any improvement. FYI, exactly what I'm going through with my father. An EF% under 30% qualifies as heart failure so you'll likely hear that term used, but don't panic until you get the next PET, that will give a better indication of his condition. Feel free to reach out with any questions.

[Remix90]

Hello sir. Thank you for the reply.
My dad is48 yrs old. This is the first PET scan that is being done today. The doctor will then check the report.
I hv one query- what will be the final procedure for him? Stent? Or by-pass surgery?
Will he be able to get back to normal lifestyle? Currently fluids restriction of 1.5ltr.

[erijon]

Treatment will depend on the severity of the blockage, generally anything over 75% needs to be treated, usually with a stent. If the blockages are closer to 95% then it will most likely require by-pass. If there is no permanent damage he should do very well.