will medications will be enough

Question

my father suffered a myocardial infarction two months back aged 75 years his lvef sates 45% when his 2d echo was done. 
his angiography states 

LAD  type 1 vessel shows 30-40 % non obstuctive plaque in mid segment after  D1 D is moderate size and normal 
D2 is small and normal 

CRC is non dominant vessel Shows ectasia in the mid s size and segment afTER OM1 OM1  is moderate size and normal. 

RCA  dominant large vessel. Shows ectasia in proximal segment PDA and PLV are normal 

LV angio Not done LVEF 45% ON 2d ECHO 

he is advised medical  management 

my question to u will medical management will help him

ed34 · Answer

his blockage will not improve with time, but there is a chance he may prevent it from getting any worse. I know a 30-40% blockage sounds large, but there is a lot of reserve in the arteries. If the blockage does get worse, he also has a good chance of collateral vessels opening up. These are natures built in bypass vessels to deal with such cases.

gsamtani · Answer

his is just the second month. he is on follow ups every month 
  and ahe has got control  on his diet too say no frying foods

gsamtani · Answer

thanks a lot . my question to you is that will that 30-40% blockage reduce with medicines and how long does it take . after how long shold he check his cholestrol and ef and after how long does ef improve

can he climb the stairs and carry weight as docs have told  him to do so 
  they have no restrictions for him he bends down too wants to be independent like for eg buying vegetables 1-2 kg or fruits 

  docs have told him to work without hastiness

DrAnitha · Answer

Hi, if the blockage in a coronary vessel is greater than 75% then the role of angioplasty is considered. Since the blockage is less than that and since its a single vessel, conservative management will help. The basic cause for the diminished ejection fraction needs to be treated for the ejection fraction to improve. Ejection fraction can be improved by lifestyle changes, medications and procedures, such as the insertion of an implantable defibrillator (ICD) if indicated. Lifestyle changes include limiting physical activity, eating a heart healthy diet, completely avoiding alcohol and/or tobacco use, practice relaxation techniques like yoga and keeping a daily weight diary to keep a tab on weight changes. Medications such as digoxin and beta blockers help to improve the pumping capacity of the heart. Discuss these options with your consulting doctor. Regards.