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Have Hypothyroidism, High Creatinine Level. Done With Coronary Angiography. What Are The Findings?
MY MOTHER HAS POOR LV FUNCTION HAVING 30 % EF, TYPE 2 DIABETES MELLITUS, HYPOTHYROIDISM .
LV ANGIOGRAM:- LV ANGIOGRAM WAS NOT DONE DUE TO HIGH CREATININE LEVEL AND POOR LV FUNCTION .
RENAL ANGIOGRAM :- NORMAL RIGHT RENAL ARTERY AND 50-60% NARROWING OF THE LEFT RENAL ARTERY FROM ITS ORIGIN.
SELECTIVE CORONARY ANGIOGRAPHY ------------
LMCA :- NORMAL.
LAD :- MODERATE CALIBR VESSEL . PROXIMAL LAD HAS 70% NARROWING BEFORE THE ORIGIN OF A SMALL DIOGONAL BRANCH, MID LAD HAS A LONG SEGMENT NARROWING OF 70-80% AFTER THE ORIGIN OF DIAGONAL BANCH. DISTAL LAD ISFREE OF DISEASE WITH GOOD DISTAL RUN OFF .
RAMUS :- SMALL IN CALIBRE : HAS 70-80% NARROWING BEFORE ITS BIFURCATION WITH GOOD DISTAL RUN OFF .
LCX :- SMALL CALLIBRE VESSEL. PROXIMAL LCX IS FREE OF DISEASE. MILD LCX HAS MINOR DISEASE WITH GOOD DISTAL RUN OFF. OM1 IS SMALL IN CALIBRE HAS MINOR DISEASE IN ITS PROXIMAL THIRD WITH GOOD DISTAL RUN OFF.
RCA :- DOMINANT VESSEL; MODERATE IN CALIBRE. PROXIMAL AND MILD RCA . PDA IS VERY SMALL IN CALIBRE AND SUBTOTALLY OCCLUDED DISTALLY .
FINAL IMPRESSION OF ECHO :- GENERALISED WALL HYPOKINESIA, DILATED CAVITY, DEPRESSED LV SYSTOLIC FUNCTION, IMPAIRED DIASTOLIC FUNCTION OF LV BY TDI, LAP IS ELEVATED, LA IS DILATED, MILD AR, MODERATE MR, AND TR. PASP :-64MMHG.
GIVE YOUR VALUABLE SUGGESTION FOR PROCEEDINGS AND FINAL DIAGNOSIS OF ANGIOGRAM.
LV ANGIOGRAM:- LV ANGIOGRAM WAS NOT DONE DUE TO HIGH CREATININE LEVEL AND POOR LV FUNCTION .
RENAL ANGIOGRAM :- NORMAL RIGHT RENAL ARTERY AND 50-60% NARROWING OF THE LEFT RENAL ARTERY FROM ITS ORIGIN.
SELECTIVE CORONARY ANGIOGRAPHY ------------
LMCA :- NORMAL.
LAD :- MODERATE CALIBR VESSEL . PROXIMAL LAD HAS 70% NARROWING BEFORE THE ORIGIN OF A SMALL DIOGONAL BRANCH, MID LAD HAS A LONG SEGMENT NARROWING OF 70-80% AFTER THE ORIGIN OF DIAGONAL BANCH. DISTAL LAD ISFREE OF DISEASE WITH GOOD DISTAL RUN OFF .
RAMUS :- SMALL IN CALIBRE : HAS 70-80% NARROWING BEFORE ITS BIFURCATION WITH GOOD DISTAL RUN OFF .
LCX :- SMALL CALLIBRE VESSEL. PROXIMAL LCX IS FREE OF DISEASE. MILD LCX HAS MINOR DISEASE WITH GOOD DISTAL RUN OFF. OM1 IS SMALL IN CALIBRE HAS MINOR DISEASE IN ITS PROXIMAL THIRD WITH GOOD DISTAL RUN OFF.
RCA :- DOMINANT VESSEL; MODERATE IN CALIBRE. PROXIMAL AND MILD RCA . PDA IS VERY SMALL IN CALIBRE AND SUBTOTALLY OCCLUDED DISTALLY .
FINAL IMPRESSION OF ECHO :- GENERALISED WALL HYPOKINESIA, DILATED CAVITY, DEPRESSED LV SYSTOLIC FUNCTION, IMPAIRED DIASTOLIC FUNCTION OF LV BY TDI, LAP IS ELEVATED, LA IS DILATED, MILD AR, MODERATE MR, AND TR. PASP :-64MMHG.
GIVE YOUR VALUABLE SUGGESTION FOR PROCEEDINGS AND FINAL DIAGNOSIS OF ANGIOGRAM.
Fri, 8 Nov 2013
User's Response
HI
Thank for asking to HCM
The report of your mother is suggestive of cardiac pathology, Ischemic disease over all coronary arteries blockage may be candidate for angioplasty, poor left ventricle function is due the the coronary artery disease, hope this will help you take care of your mother have nice day.
Thank for asking to HCM
The report of your mother is suggestive of cardiac pathology, Ischemic disease over all coronary arteries blockage may be candidate for angioplasty, poor left ventricle function is due the the coronary artery disease, hope this will help you take care of your mother have nice day.
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