An ECHOCARDIOGRAM shows a thin LV wall, an enlarged LV, and severe hypokinesis of the septum and lateral wall of the LV. The visually estimated EF is 35%. There is mild mitral regurgitation and no other significant valvular abnormalities. There is a small, hemodynamically insignificant pericardial effusion. There is enlargement of the RV as well. There is no evidence of intracardiac shunting. A cardiac catheterization shows complete occlusion of the proximal Left Anterior Descending coronary artery. There is diffuse disease in the Circumflex Coronary Artery. The Left Main coronary artery has a 20% stenosis. There is diffuse, mild disease in the Right Coronary Artery. There is no intraventricluar thrombus identified on either study. EF measured on the LV-gram is 30%.
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