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Calling Cardiologists for Feedback (Low EF)

2021.09.22 03:35 Upstairs-Belt8255 Calling Cardiologists for Feedback (Low EF)

60 Year Old
Male
5'10''
130 pounds
Indian

My dad's EF via echo and MUGA scan was 45-50 a year after his heart attack. He had a heart attack in April 2020 without us realizing it. We thought it was COVID. We found out in April 2021 - a whole year later! He never had any symptoms post the event. When they did a cath this year to check the blockages that existed. They saw his RCA has a total chronic occlusion and left it alone because his mid-basal inferior wall is already damaged. They also saw that he had lots of collaterals despite muscle damage off of his RCA. His EF as I said was found to be 45-50 in April 2021 by BOTH of those tests independently.
Then, the second cardiologist he saw gave him a stent on a 80% blockage on his LAD proactively (to prevent a STEMI heart attack in the future). The first cardiologist didn't care to touch it. A week after the stent, his EF was checked and it was 35%!!! He is now on Entresto and other heart failure medications due to low EF. Ever since his stent, his back has hurt on and off as well. He never had those problems before - he never had pains or fatigue.
It very much seems like his stent in his LAD decreased his cardiac function. We asked the doctor who did the stent about this and he said that the first TWO tests just must have been wrong and his EF probably was always 33. My dad's echo shows no enlargement and mild mitral regurgitation. The rest of his valves look good and RV/diastolic looks good.
We took him to THIRD cardiologist now who is from Inova (one of the top cardiac institutions in the country). He met with us and was confused as to why my dad's EF is 33 after the type of damage he has. He reviewed my dad's CT scan and MRI. He said the damage is minor and is only 10-15% of my dad's heart - there is no reason that type of damage should cause such a low EF. He is going to be looking at previous cardiac cath pics to give a better analysis but we're still waiting to hear back!
Any input on this? So many different opinions - I mean after the stent, my dad visibly feels shitty and not as good as he used to. I'm pretty annoyed by that. Could his stent have been placed incorrectly?!
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