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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Safe Is Angioplasty Or Bypass For LV Dysfunction And Pumping Rate Of 24%?

Hello Doctor,Its regarding my friend health problem. Recently we noticed a cardiac problem i.e., MULTIPLE BLOCKS in his heart. (through angiogram)
Till now we did not even noticed any sympom and even he is not having any health complaints like BP or Sugar.But unfortunately we noticed that by birth he is having only one KIDNEY.
The doctors told that we could not do anything as he is suffering with severe LV dysfunction and the pumping rate is only 24percent.so they cant go for either ANGIOPLASTY OF BYPASS.
They just preferred to go with MEDICAL MANAGEMENT and there is no life gaurentee.
could you please suggest us how to face this abnormal situation. Is there any possiblity for his life gaurentee?.
Thu, 1 Feb 2018
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Cardiologist,  's  Response
Hello,
Since his heart function is low, and also he is having only single, both bypass and angioplasty are risky options. But in order to prevent further fall in heart function, he should have either of two. Bypass is a better option but has more risk. So you need to take the risk and go ahead with either procedure.
He must be on multiple medicines like Aspirin clopidogrel statin like atorvastatin beta blocker like Metoprolol and ace inhibitors like ramipril. All these should be continued. Get his repeat echo done to see if any improvement in function. Hope this helps you and get back if you have any doubts.
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How Safe Is Angioplasty Or Bypass For LV Dysfunction And Pumping Rate Of 24%?

Hello, Since his heart function is low, and also he is having only single, both bypass and angioplasty are risky options. But in order to prevent further fall in heart function, he should have either of two. Bypass is a better option but has more risk. So you need to take the risk and go ahead with either procedure. He must be on multiple medicines like Aspirin clopidogrel statin like atorvastatin beta blocker like Metoprolol and ace inhibitors like ramipril. All these should be continued. Get his repeat echo done to see if any improvement in function. Hope this helps you and get back if you have any doubts.