PATIENT |
AGE |
SEX |
Hx |
EJECTION FRACTION |
BETA BLOCK |
CATHETERIZATION |
MI |
|
|
|
|
CATH |
ECHO |
SPECT |
|
LM |
LAD |
CFX |
RCA |
(ECG) |
1 |
53 |
M |
HTN,OSA,s/pCABGx3,s/p PTCA |
30-40% |
FS 38.6% |
76% |
Atenolol QD at adm |
30-40% dist. |
100% at orig.;faint L to L collat;R to L collat.; 100% SVG to ramus;100% SVGto D;100% SVG to LAD |
50% mid |
distal 90% |
septal MI |
2 |
70 |
M |
DM,MI(11/8/98), CHF, A-fib,HTN |
58% |
40-45% |
|
Metoprolol 11/15/99 -0200 |
50% |
70% @septal perf.;mid 70%;dist. 80%,99% ramus |
subtotal OM;collat. to dist. RCA &PDA |
dominant;100%prox.; right to distal right bridging collat. |
septal MI lateral MI |
3 |
71 |
M |
CP, HTN, BPH |
33% |
|
49% |
|
|
90% mid, 70% dist |
90% @bifurc of OM1, OMJ1 w/50%, posterolat collat to PD & PV |
dominant, 100% prox |
Poss Q ant MI; Q inf MI |
4 |
58 |
F |
recurr Metastatic Breast Can, HTN, depression |
|
|
|
Metoprolol at admit DOS |
40-50% distal |
|
|
|
|
5 |
70 |
M |
NIDDM; MI ; PVD; Hyperthyroidism |
71% |
|
|
Atenolol 3/1/99-0900 |
free of disease |
diffuse 50% prox and mid; dist mild irreg; D1 subtot at orig; D2 90% at orig |
40-50% at orig; 60-70% prox; OM1 70-80% at orig |
dom. 70-80% throughout; collat from left |
Q inf MI |
6 |
53 |
F |
htn, h/o IVDA, |
72% |
> 50% |
62% |
|
|
100 % s/p D1, collat from CFX |
free of disease |
subtotal occl. Mid portion |
poss Q inf MI |
7 |
57 |
M |
HTNX 7-8 yrs, Hx MI |
36% |
|
|
Atenolol QD at adm 4/5/99 (DOS 4/7) |
99% mid; |
mild |
OM1 80% prox, OM2 more than 95% |
100% after RV branch |
poss Q inf MI |
8 |
75 |
M |
MI '78;HTN;TIA: H-chol; PUD |
58% |
|
normal; EF 61%; dimin LV compliance |
|
50% ostial stenosis |
90% LAD prox;dist & diag w/mild irreg. |
OM1 90% prox |
80% mid; diffuse mild irreg |
poss Q inf MI |
9 |
60 |
M |
Inferior MI, s/pCABGx2,RCA,Hyperlip., Unstable Angina |
58% |
|
|
Atenolol 0900 DOS |
diffuse mild to moderate dis. |
free of disease |
free of disease |
dominant; SVGtoPDA free; SVGtoRVA free; diffuse dis. Ostial, proximal and mid seg |
|
10 |
57 |
F |
HTN, MI 12/97 |
58% |
|
35% |
Metoprolol BID at adm |
free of disease |
100% after origin of D2 |
OM1 free of dis, OM2 90% prox, posterolateral 90% prox. |
Dominant, diffuse moderate to severe, 70-80% ostial, 80% mid, 90% proximal to bif |
Q inf MI; poss Q ant MI |
11 |
51 |
F |
NIDDM |
40% |
|
mod diminished systolic performance EF31% |
|
|
99% mid, Diagonal w/mild irreg |
OM1&2 free of disease small post-lat branch w/90% lesion |
dominant, PDA w/90% in proximal 1/3 |
|
12 |
78 |
M |
|
|
|
EF 61% |
|
|
|
|
|
|
13 |
52 |
F |
MI x ?4(inf MI 4/96),3w/arrests Vfib, Anemia, TB-tx, Arthritis,PTCA mid-RCA (4/96),OM1 & post ventricular branch (6/96) |
nl |
|
|
|
|
80%;60% D2 |
70% OM1;100% OM2 |
90% RCA@ bifurcation |
Q inf MI |
14 |
43 |
M |
CAD, s/p MIx4 '91-'94 NIDDMx2.5yrs, Hchol.;s/p PTCAx3 '91-'94 |
|
|
|
|
SEVERE 4 VESSEL DISEASE |
SEVERE 4 VESSEL DISEASE |
SEVERE 4 VESSEL DISEASE |
SEVERE 4 VESSEL DISEASE |
Q inf MI |
15 |
62 |
M |
HTN;s/p PTCA RCA (96) |
72% |
|
|
Metoprolol 11/17/99 -2100 |
free of disease |
mid 70-80% w/aneurysm;diffuse disease mid&distal |
diffuse disease |
dominant;diffuse mild disease; patent stent |
|
16 |
72 |
M |
DM;HTN;CVA w/R hemiparesis,disarthria |
normal |
|
|
|
80% distal |
diffuse disease up to 80%; D1 80% prox; |
no major disease; poss. 100% OM |
dominant; 80-85% orifice lesion;90% prox. |
|
17 |
78 |
M |
DMx20y, CP w/stress |
49% |
|
|
|
90% throughout |
mod. Disease throughout;D1 90% ost.sbtl occ. Mid;D2 95% |
80% prox. Mod dis. Mid. OM1 mod Ost.; OM2 occl. Prox. |
consec. 80% sten. prox∣ post ventric. art. 90% lesion mid |
|
18 |
77 |
M |
IDDM, PVD, HTN |
25% |
|
decreased LV peak diast filling rate; dimin LV compliance |
|
mild luminal irreg |
100% at mid; dist fills via bridge collat;D's small w/mild irreg; coll supply dist RCA |
LCx w/90% prox; 80% in dist LCx involvs Ost of OM; |
subtotal occlus. |
Q inf MI; poss Q ant MI |
19 |
80 |
M |
HTN |
50% |
normal |
|
Metoprolol 12/11/98 |
|
80% prox 70% prox; 50% mid; D1 80% prox |
95% prox; OM1 90% |
100% prox. Collat from LAD |
|
20 |
64 |
M |
Htn,IDDM
|
70% |
64% |
|
Metoprolol 4/30/99 |
|
3 seq prox 80-90%, diffuse |
one large OM w/60% prox lesion |
dominant, PDA w/80% mid |
|
21 |
52 |
M |
MI 10/98 |
47% |
30-40% |
|
|
free of disease |
100% aft. D3; all D diffuse dis.; D3 60% sten. |
long 70%; OM1&2 AV Cx branch w/diffuse moderate irreg. |
Dominant; diffuse irreg. Several 90% sten dist; PDA diffuse dis.; Coll to LCx; PVA diffuse dis. |
Q inf MI |
22 |
68 |
M |
NIDDM, periphVD,PUD |
31% |
|
|
|
40% prox |
60-70%prox-mid;D1 60% prox;D2 90% prox |
OM1 diff.mod dis.;AV Cx 50% dist |
Domin;90-95% mid; dist 3rd mild irreg.; |
|
23 |
67 |
F |
HTN, MI 81(97,98?), IDDM, CVA |
41% |
|
|
|
free of disease |
80% prox at D1 bif, mild irreg mid & dist |
OM1 90% at orig, 90% AV Cx artery |
Dominant, 90% mid |
Q inf MI |
24 |
71 |
M |
PMH of CAD; Unstable Angina; s/p PTCA/Stent RCA 8/98 |
79% |
|
|
Atenolol 12/7/98 -0700 |
normal |
80-90% mjid distal; D1 prox disease; |
80% prox; OM1 90% prox |
dominant; stent restenosis |
|
25 |
68 |
F |
HTN, Hchol,CAD, MI '93,R/I AMI
|
55% |
|
|
Metoprolol 11/28/98 -1300 |
free of disease |
80% prox,80% at sept branch, distal is free of disease |
trunk w/40% before OM1; OM&AV mild diffuse |
Dom; 70-80% prox to mid; diffuse disease PDA and PVA, coll from LCX |
Q inf MI |
26 |
70 |
M |
DMx6y;Angina |
54% |
|
|
|
|
80% mid; 60% D1 D2;50% sept perf |
80% |
70% prox; 30% after 1st marg. |
|
27 |
58 |
M |
HTN, Hchol, Diabetes Type 1, S/p Thyroidect.,GE Reflux |
40-45% |
|
|
Metoprolol BID at adm |
50%, 70% dist |
90% mid |
70% prox,80% mid |
99% w/coll.from LAD |
Q inf MI |
28 |
63 |
F |
MI, s/p PTCA, dyspnea on exertion, angina |
5% |
|
|
|
free of disease |
diffuse disease w/o sig stenosis |
100% |
Diff irreg; coll fr. LAD |
|
29 |
69 |
M |
MI (74),Hchol,HTN, exertional angina |
67% |
|
mild decrease,de-creased compliance |
|
|
subtotal occl. proximal |
100% mid; OM2 100% at orig. |
dominant;subtotal prox,100% mid,collat. |
|
30 |
56 |
M |
HTN, COPD, OSA, NIDDM, Salmonella aortitis, CVA, MI (9/3/98),CHF,11/96 PTCA LAD 4/96 &97 |
37% |
|
51% |
|
|
s/p stent;diag. w/80% at ostium;50 % ramus |
80% s/pOM; postlat100%;AV branch mild |
dominant;mod. luminal plaquing; |
|
31 |
51 |
M |
HTN, CAD, s/pPTCA of RCA w +stress test |
not done |
|
normal LVSF;dimin LV compliance |
|
50% |
50% prox. near D1;diffuse irreg; D mild irreg; |
90% Ramus prox |
dominant; 80% distal each seg; PVA diffuse irreg |
|
32 |
66 |
M |
CAD,HCB cirrhosis, NIDDM, unstable Angina |
60% |
|
|
|
nonobstruct. plaquing |
100% diag.;100% mid LAD;distal collat. filling |
OM1 70%prox;OM2 99%prox;80% CFX @Oms;collat.from CFX to distal RCA |
100% prox.;90% ostial & prox. PDA |
|
33 |
39 |
F |
IDDM, Htn, S/P KT, PVD |
57% |
norm LVSF |
low normal Sys dim LV comp, EF 53% |
Metoprolol 05:30 DOS |
Dist 70% |
D1 70%; befSP 70%; diffuse irreg mid-dist; D1 60%; D2-D4 mild irreg |
90% orig; diff irreg; collaterals from RCA |
dominant; free |
|
34 |
63 |
M |
CAD, HTN, NIDDM,Afib,COPD, Depression |
<7% |
mild to mod global decrease |
|
Metoprolol BID at adm |
|
90%; 100% D2 |
|
Dominant 100%; Collat |
poss Q inf MI |
35 |
68 |
F |
NIDDM, ischemic CM, CHF |
15%; LVE; |
|
ef 15% |
|
normal |
100% prox; coll from RCA |
90% prox;60% mid7distal; 90% OM1;60% OM2;normal Ramus |
dom.70% mid; 85% ostial of acute marg. |
Ant-sept MI Q inf MI |
36 |
71 |
M |
PTCA RCA '95; AAA repair '95 |
65% |
|
EF 51% ;dim LV compliance |
Atenolol last dose 12/13/98 (DOS 12/15) |
40-50%distal |
50% prox-mid;80% D2 at origin |
70% mid |
distal mild irreg. |
|
37 |
71 |
M |
NIDDM; prostate CA |
40% |
|
|
|
LM 45-50% ostial; |
diffuse 50% at bifur. Of LAD & D1; 50% dist LAD; diag larger than LAD |
95% dist but small vessel |
100% mid; good collaterals to dist right vess from Left system |
Q inf MI |
38 |
67 |
M |
HTN |
53% |
|
|
Metoprolol BID at adm |
small no focal stenosis |
60% segmental prox, 50% after orig of 2nd diag branch; dist mild plaq; D1 mild plq;D2,3 small |
moderately large w/focal 80% in prox one-third; 30-40% through mid; dist postlat free of dis. |
dominant, sev dis; 90% prox, seg 80% ; 100% after orig of RVBranch;faint coll dist; LCA collat w/mod retrograde filling of distal RCA |
|
39 |
58 |
F |
CAD, HTN, IDDM, Asthma s/p CVAx2, Hchol, MI; Stent in LAD 11/97 |
|
|
ef 42%; mild diastolic dysfunction |
Metoprolol BID at adm |
|
80% ostial |
dominant,80% ostial |
|
|
40 |
56 |
M |
CVA 1/99; Hchol, NIDDM, HTN |
45-50% |
|
|
|
mod sten ost. |
sev sten prox mid & distal |
sev prox, mod prox ramus medianus |
sig orificial lesion, 50% PDA w/ collat from left system |
|