Q My father is 76 yrs old and is a diabetic (non-insulin dependent). He had been admitted to hospital twice for cardiac problems. The last occasion was from 2.10.02 to 09.10.02. The final diagnosis mentioned in the patient discharge summary was DM Type-2+HTN+CAD - Ext AWMI. Since then he has been on medicines (Tab Telma, Tab Nebistar, Tab Dianorm, Tab Gyciprage CR, Tab Volibo, Tab Thyronorm, Cap Ecosprin, Tab Nitrocontin, Cap Diavit Plus, Tab Pantocid) Recently, during a routine check up, he had an ECG which was abnormal and the doctor asked for Echo Cardiography to be done to correlate the results. The Echo Report dated 21.4.13 stated "Coronary Artery Disease. Regional wall motion abnormality as detailed. LV systolic dysfunction. Global LVEF=40%. He has no pain in the chest area and has not showed any symptoms of heart attack. The earlier Echo Report results were as follows:- Report Dt: 09.11.02 - Mid, apical septum, apex and distal 1/3rd of lateral wall hypokinetic. Fair LV systolic function. Good RV systolic function. LVEF=50%. Report Date: 30.10.08 - Akinetic apex, apical septum; rest of the LV is contracting normally. LV Ejection Fraction 45%. Grade I diastolic dysfunction. Normal valves. No LA/LV clot. Pericardium normal. The doctor has advised that V1, V2 of ECG is irregular and should be advised to the doctor whenever ECG is taken. No need for admission in hospital presently. Medicines prescribed to continue. Kindly advise me your opinion especially w.r.t. the Echo Report of 21.4.13.
Coronary artery disease develops when your coronary arteries (which are the major blood vessels that supply your heart with blood, oxygen and nutrients) become damaged or diseased. It has various factors- age, obesity, smoking ans drinking, any mental stress sedentary lifestyle, environmental factors, other diseases like hypertension etc. The term LV systolic dysfunction and LVEF= 40% are related with the heart function. The pumping of the heart is measured by this. As the age increases the pumping mechanism gets affected. Please continue the medication as prescribed. Follow the routine and diet.