Revascularization of the Heart and Exercise Prescription.
Revascularization of the Heart and Exercise Prescription. Medical History Mr X is a 67 years old who previously had an unremarkable medical history. He is sedentary and has been for most of his adult life. He was admitted within the last month for unstable angina. Procedures :progress cardiac catheterization and off-pump two -vessels CABS. Following PTCA and stent placement at the first admission, he had early recurrence of angina and an anterior -septal infarction. Having declined restudy, he had a trial on medical management. His clinical course was complicated by progressively limiting postinfarct angina. Hospital Course Cardiac catheterization demonstrated that the left anterior descending coronary artery had developed critical restenosis proximal to the stent. There was a long 60% stenosis attributable to dissection distal to the stent. Bypass surgery