Rescue PTCA after MI. After 2+ years bp is 90/60 2D echo EF reduced 40 to 30%Thanks for suggestions.?

Answer 1

Go for it , it's a chance of a life time. Might be your EF will increase.
Best of luck.

Answer 2

If two yearshave elapsed since the occlusive coronary event, and you have low blood pressure ( 90/60 ), and ejectional fraction reduced by 30 -40%, that means that you have lost the contractility (functional effectiveness of your heart as a pump)....then you are already in the middle if myocardial insufficiency-------
Low blood pressure tells us about the loss of mechanical strenght of your heart, because it has dilated a bit too much, and the mechanical force has decreased,
In Echocardiogram (although you dont mention gradients nor chamber pressures), means that instead of ejecting the normal ejection fraction (EF) in average 50 ml per beat, reduced now to 35-38 ml per beat from each ventricle, right and left, you have a moderately to severe reduction of the cardiac output....(cardiac insufficiency)

Rest and digitalis, with sodium restriction (table salt) are the first step, to avoid swellling of the legs and ankles, as well as "intense tiredness" because your heart has lost a substantial amount of useful contracting muscle., digitalis and mild diurectics (spironolactone 10 mg per day PO) could be advisable, thoug total and complete rest is NOT advisable, you will have to use platelets antiaggregants such as magaldrate (plavix) once every two or three days, and cardiac progressive rehabilitation.....always supervised by your GP or cardiologis...Avoiding common table salt, is another healthy measure....

Answer 3

There are good ayurvedic capsules such as Rudved/Cardoved/Suved/Slow Gold etc. They increase the EF rate and also develop collateral. They also work as prophylactic. Indian Mulberry is also good for heart disease.