Overweight, hypertension, dyslipemia, type II diabetes.
Mild/moderate renal insufficiency.
2 acute episodes of pulmonary edema 8-3 months before.
Presents with chest pain and weakness after mild exercise.
The rest ECG was totally normal. -Medication: ARBS, diuretics, metformin, statins.
Teaching points:
Myocardial viability assessment is indicated in patients with chronic LV dysfunction.
In patients with LV dysfunction and myocardial viability, the mortality is significantly lower in those treated with revascularization than those treated medically.
The extent of perfusion–metabolism mismatch is proportional to mortality rate in medically treated patients with chronic ischemic LV dysfunction.
