| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 2973830 | Journal of Indian College of Cardiology | 2014 | 4 Pages |
AimGlobal hypokinesia of left ventricle (GHLV) is uncommon in ICMP that delays the proper treatment because of confusion with DCMP as the closest differential diagnosis. The aim of this study is to evaluate the role of coronary angiogram in unexplained dilated and significant GHLV of with no prior documentation of CAD.Materials and methodsIt is short term prospective study which included 100 consecutive patients during the period Jan-2012 to Feb-2013. The study group consists of patients having dilated and GHLV with significant left ventricular dysfunction without documented CAD before. EF% was computed by Simpson's method. Epidemiological data and details of risk factors were studied. CAG was done in all patients. Viability study was done in 3 cases. Treatment plan was modified after CAG and viability study results depending upon the CAD status. Follow up results at the end of one month were analysed.ResultsOut of 100 patients with dilated and GHLV with severe left ventricular dysfunction, 73 patients had normal CAG and 16 (16%) patients had significant CAD. Three patients underwent CABG and thirteen patients had undergone angioplasty. Only 4 patients developed mild renal dysfunction and improved on follow up. Three patients died during one month follow up with normal coronaries.ConclusionCAD was seen in 27% of patients with dilated and GHLV. CAG is safe even up to LVEF of as low as 20%. The triad of low EF, significant CAD and viable myocardium provides favourable prognosis. Mild CAD needs optimised medication.
