Case and Plan:
84 yrs, M presented with CCS class I angina & +Stress MPI for MV ischemia done as preop for bladder cancer surgery
CAD Risk Factors
Hypertension- controlled
Hyperlipidemia- controlled
SAQ-7: 82, CKD Stage 3
Smoker with mild COPD
Cath: Cath on January 7th 2024 revealed calcific 3 V CAD; 80% prox LCx, 90% LPL, multiple 70-80% calcified bifurcation LAD/D1-2 lesion (1,1,1) LVEF 62% & Syntax score 56, STS 3,2%. After heart team discussion, CABG declined and pt continued on MT. PT underwent bladder resection without MACE. Now has Class II-III angina.
Plan:
