Patient Demographics
78 yrs, M CAD Risk Factors
Hypertension- controlled
Hyperlipidemia- controlled
NIDDM- controlled
Present Clinical Presentation
Presented with CCS class Il angina, CTA revealing
LAD and RCA disease and stress MPI for inferior and apico-lateral ischemia
Clinical Variables
Known CAD s/p DES PCI of D1 and PL 2011, EF 60%
SAQ-7: 79
Medications
Aspirin, Losartan, Amlodipine, Metoprolol XL, Rosuvastatin, Ezetimibe, Glucophage, Glimepiride
Cath: Cath on June 4th 2024 revealed calcific 3 V CAD with ISR; 80-90% multiple RCA lesions, 80% LPL DES ISR, 70-80% calcified bifurcation LAD/D1 (1,1,0) with FFR 0.76, LVEF 50% & Syntax score 22. Pt underwent RotaSynergyDES of RCA/LPL & did well.
29 сен 2024
