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Marked ischemia at lower septum of inferior wall, hyper tension, CABG, normal scintigraphy

hi.i awould like to help me necessary about treatment of marked ischemia at lower septum of inferior wall????? my dad(65) complain from hyper tension and do CABG 10 years ago and recently he do strees myocardial perfusion scanning (scintigraphy)and the results was:normalRV and exersise induced L V dilatation and reversable moderate to marked ischemia at lower septum of inferior wall .and iam so worry about these results so is there any dangerous and what is the treatment??please help me?
Asked On : Fri, 20 Apr 2012
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Cardiologist 's  Response
Hello! After a careful assessment of your discussion about the problem, It appears to be a complication of old myocardial infarction suffered by your father. He is lucky to be survived the most dangerous type amongst all the Ischemic heart diseases.
He is presently having 'Dilated Cardiomyopathy' due to a permanent functional loss of some of the myocardial tissue.
Although the prognosis is not so good having had 10 years for the CABG, he can definitely survive more symptom free years by a proper management under an eminent cardiologist.
The commonly prescribed medications being diuretics, Angiotensin converting enzyme inhibitors, Angiotensin receptor blockers, beta blockers, Co-enzyme Q10.
Also he needs a gradual, personalized cardiac rehabilitation program alongwith a dietary control program & a psychotherapy.
Thanks & wishing a long life for your father!
Answered: Fri, 11 May 2012
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