Had an appointment on the phone on the 28th with Cardiologist and received a copy of the letter to my GP summary is
" We have a fairly stable situation Blood Pressure averaging 103/62 HR 50 His last MRI showed an EF of 43% Last Bloods taken in January confirmed "Full Blood count normal, Thyroid Function test Normal GFR 72 and Iron studies normal "
In conclusion , this gentleman with a long history of Ischaemic heart disease and an Ischaemic Cardiomyopathy remains fairly stable and is on Optimum Medication I have made no changes to his medication and will see him again in a years time in my clinic for a review. I do think it would be difficult to get him up to the highest dose of Entresto, but the Heart Nurse will continue to monitor !!
Not to Bad !!!