This male has severe three-vessel coronary disease and cardiomyopathy with low LV systolic function. Revascularization (likely with CABG) is indicated if there is salvageable myocardium. The degree of renal failure limits initiation of aldosterone blocking agent at this time. So the answer is 2
now-a-days MRI imaging is preferred to rest and stress thallium. Rest thallium alone is incorrect since u get delayed distribution with thallium and false positives, to shorten the scan time one can do rest and strett sestamibi and thallium combination thereby the patient does not need to come back the next day.
4 All of the above
ReplyDeleteOption 1 is correct because of the findings on CAG and is the definitive treatment for his failure.
Option 2 is needed to see the extent of reversibility in the ischaemic myocardium
Option 3 is needed to optimize management of patient in view of recent PND episode.
This male has severe three-vessel coronary disease and cardiomyopathy with low LV systolic function. Revascularization (likely with CABG) is indicated if there is salvageable myocardium. The degree of renal failure limits initiation of aldosterone
ReplyDeleteblocking agent at this time. So the answer is 2
now-a-days MRI imaging is preferred to rest and stress thallium. Rest thallium alone is incorrect since u get delayed distribution with thallium and false positives, to shorten the scan time one can do rest and strett sestamibi and thallium combination thereby the patient does not need to come back the next day.
ReplyDelete