Heart Attack.

I am a 64 yr old man who had a massive heart-attack on 18th April . On 4th May I had angioplasty in which one sten was introduced in one of the arteries with more then 90% blockade, the other blockade with 65% was left as it is. I am enclosing comparison report of my Echo done in April & in June.
Please advice what does the report suggest.
Test Results

Normal 19-04-09 30-04-09 3-May 5/5/2009 16/5/09 6/6/2009 8/6/2009
Blood Group B+
Haemoglobin 11.5-16.5 15.5 14.5 12.4 14.5
Pack Cell vol. 40-50 42.9
E.S.R(Westergren) 001-10 65
Total Leucocyte Count 4000-11000 11700 7200WBC
Neutrophils 60-70 77 67
Lymphocytes 30-40 20 28
Monocytes 1
Eosinophils 001-006 3 4
Basophils 0
Serum Electrolyte
Serum Sodium 130-140 134
Serum Potassium 3.5-5.5 5.4
Cardiac Enzyme
AST 005-40 48.8 32
CPK 65-190 239.4
CKMB 006-39 113
LDH 220-430 720.2
S.G.P.T.(ALT) up to 40 26
S.Alkaline Phosphatase 100-310 176
Serum Creatinine 0.5-1.5 1.12 1.13 1.2 1.1
Lipid Profile Ordinary
Serum Cholesterol 125-200 246 119 111
Serum Triglyceride 45-140 203 90 80
HDL Cholesterol 29-72 46.2 25.3 38.2
VLDL Cholesterol 20-35 40.6 18 16
LDL Cholesterol 110-130 159.2 75.7 56.8
Cholesterol HDL Ratio 4.5-5.5 5.32 4.7 2.91

PPBl.Glucose 90-135 187 123 148
Fasting Bl Glucose 76-110 130 93 127
S.Urea 30
S.Bilirubin Total 0.9

Urine Routine & Deposite
Reaction Acidic
Protein Nil
Glucose Nil
Pus Cells(P.H.F) 0-2
RBC(P.H.F) Nil
Epithelial Cells(P.H.F) 002-003
Casts Nil
Crystals Nil

Elisa Test
Australia antigen Negative
Detection of HIV-I&II Negative
Detection of HCV Negative








ECHO

22/04/09 9/6/2009
2D
Ld 7.8cm 8.8cm
Ad 24.4cm2 32.5cm2
EDV(A-L) 65ml 103ml
EDV(MOD) 63ml 100ml
Ls 7.4cm 8.0cm
As 18.4cm2 23.7cm2
ESV(A-L) 39ml 59ml
ESV(MOD) 37ml 57ml
HR 73BPM
EF(A-L) 40% 42%
EF(MOD) 42% 43%
SV A-L A4C 43ml
SV MOD A4C 43ml
CO A-LA4C 3.15l/min
CO MOD A4C 3.14l/min
LVEDV(Geom) 87ml
LVESV(Geom) 39ml
EF(Geom) 55%
SV(Geom) 48ml
CO(Geom) 3.39l/min
HR 70BPM


M-Mode
Ao Diam 2.9cm 3.5cm
LA Diam 2.7cm 2.8cm
AV Cusp 2.1cm 2.0cm
LA/Ao 0.92 0.8
LVET 261
D-E Excursion 2.2cm 1.9cm
E-F slope 0.11m/s 0.09m/s
IVSd 1.2cm
LVIDd 3.6cm
LVPWd 1.5cm
IVSs 1.6cm
LVIDs 2.5cm
LVPWs 2.1cm
EDV(Teich) 54ml
ESV(Teich) 22ml
EF(Teich) 59%
%FS 31%
SV(Teich) 32ml
EPSS 1.1cm


Doppler
MV E Vel 0.53m/s 0.68m/s
MV DecT 141ms 185ms
MV Dec Slope 3.8m/s2 3.7m/s2
MV A Vel 0.84m/s 1.02m/s
MV E/A Ratio 0.63 0.66
E' 0.04m/s
E/E' 16.73
AV Vmax 0.69m/s 0.92m/s
AV maxPG 1.89mmHg 3.35mmHg
PV Vmax 0.54m/s
PV maxPG 1.17mmHg


DIAGNOSIS IHD
APICAL
DYSKINESIA

COMMENTS RECENT AMI.MILD MV,AV,PV &TV ARE
APICAL HYPOKINES NORMAL.NO MR OR
IA. REDUCED DIASTO AR. REDUCED LV
OLIC COMPLIANCE. SYSTOLIC FUNCTIONS
ADEQUATE LV FUN APICAL DYSKINESIA
CTION. NO MR. PERI NO LA OR LV CLOT
ICARDIUM-NORMAL SEEN NO PERICARDIAL
VALVES NORMAL. EFFUSION