Recent Visit to Cardiology

[Prada47]

Hello Now have the report to GP and self of my recent Cardiology Face to Face

Diagnosis

1. CABG 2015 ( LIMA to diagonal and vein graft to OM)

2. PCI mid LAD March 2018

3 Ejection Fraction 39% with non-viable RCA territory

Current Medication Aspirin 75mg. Bisoprolol 7.5mg. Eplerenone 25mg. Omeprazole 20mg. Pravastatin20mg. Entresto 49/51mg bd. ISMO 10mg bd.

This 74 year old gentleman came to see me today in clinic He as you know had CABGx2 in 2015. In 2018 I undertook PCI to his Mid LAD and following that there was a very good Improvement in exertional symptoms. He now presents with breathlessness on exertion and tightness on exertion too.

His recent stress MRI confirms EF is 39% His RCA territory is non-viable and importantly the MRI did not confirm any ischaemia.

His blood pressure average home is 110/60

Recent Blood test Hb 144. GFR of 76. Thyroid test normal. HbA1c 40. Cholesterol 4.5 with an LDL of 2.9

It is very possible that symptoms are related to his underlying LV impairment for which he is on appropriate medical therapy.

We do get false negative stress MRI scans and following a discussion we have agreed to repeat his coronary and graft angiogram and have PCI on standby if requited.

The stents I deployed in the LAD in 2018 were small calibre stents in a very diffusely diseased LAD. There is a chance that we may have encountered re-stenosis. I will write after having performed his procedure. No changes to his medication .

I am impressed with my Cardiologist he tells everything !!! Hope this helps people on our Journey !!

Regards

[shopman]

It's good to find one that says it as it is plus being able to follow it yourself. I would guess overall the prognosis is pretty good especially given they are prepared to look and do more. Don't forget they can do stents within stents these days if required.

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Dear Prada47

WOW Bisoprolol @ 7.5mg that would put me flat on my back, I am on 1.25 and that has its problems.

As ever