Hi I m 43y old M smoking I had acute anterior Myo cardial infarction since awake I was admitted to CCU for 5 days my blood tests was (( ck=2200. WBC=8.7. RBC =3.5 Ca=9.3)). I had given metalyes IV 80 cc . Today I made ECG=anterior ISCH changes recent. ECHO = (( EF= 40-45%. + anterior apical akinesia )). Please is it danger ?! Do I need cath ? With regard. Thank you My name is Fares Al masa eyed.
Hi, 40% is a bit lower than normal. This would imply heart failure. The cause in a rather young person is tricky and a reason to do a catheterization.  Hope I have answered your query. Let me know if I can assist you further.