What is the next best treatment plan for a patient with a history of coronary artery disease (CAD), previous coronary artery bypass grafting (CABG) and left heart catheterization (LHC), reduced ejection fraction (EF) of 30-35%, grade II diastolic dysfunction, and evidence of peri-infarct ischemia on Technetium (99mTc) Sestamibi study?

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Last updated: July 23, 2025View editorial policy

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Treatment Plan for Patient with CAD, Reduced EF, and Peri-Infarct Ischemia

Coronary artery bypass grafting (CABG) is recommended as the optimal treatment for this patient with severe LV dysfunction (EF 30-35%), heart failure, and significant coronary artery disease with evidence of peri-infarct ischemia. 1

Assessment of Current Status

The patient presents with:

  • Moderate-sized perfusion abnormality on SPECT imaging with evidence of peri-infarct ischemia
  • Severely reduced ejection fraction (30-35%)
  • Grade II diastolic dysfunction
  • History of previous CABG (24 years ago)
  • Recent left heart catheterization (2023)

Treatment Algorithm

Step 1: Evaluation for Revascularization

  • The patient has clear evidence of ischemia on stress imaging with a severely reduced EF of 30-35%
  • According to guidelines, CABG or medical therapy is reasonable to improve morbidity and mortality for patients with severe LV dysfunction (EF <35%), heart failure, and significant CAD (Class IIa, Level of Evidence B) 1
  • The presence of peri-infarct ischemia indicates viable myocardium that could benefit from revascularization

Step 2: Heart Team Consultation

  • Referral to a Heart Team is essential for this complex case with prior CABG
  • The Heart Team should evaluate:
    • Coronary anatomy from recent LHC (2023)
    • Graft patency status
    • Technical feasibility of repeat CABG vs. PCI
    • Surgical risk assessment

Step 3: Medical Therapy Optimization

While preparing for potential revascularization, optimize guideline-directed medical therapy (GDMT):

  • High-intensity statin therapy (e.g., atorvastatin 80 mg daily) 2
  • Beta-blocker titrated to maximum tolerated dose
  • ACE inhibitor or ARB titrated to maximum tolerated dose
  • Consider aldosterone antagonist (given EF <35%)
  • Antiplatelet therapy

Step 4: Revascularization Decision

Based on the patient's profile with:

  • EF ≤35%
  • Evidence of peri-infarct ischemia
  • Prior CABG (24 years ago)

The 2023 AHA/ACC guidelines and 2013 ACCF/AHA guidelines support revascularization in this scenario 1:

  • If surgical risk is acceptable: CABG is preferred (Class IIa recommendation)
  • If high surgical risk: PCI may be considered as an alternative (Class IIb recommendation) 1

Evidence Supporting This Approach

The STICH trial demonstrated that in patients with EF ≤35% and coronary disease amenable to CABG, surgical revascularization resulted in lower cardiovascular death (33% vs. 28%; p=0.05) and lower all-cause death or cardiovascular hospitalization (68% vs. 58%; p<0.001) compared to medical therapy alone 1.

A secondary analysis of the ISCHEMIA trial showed that in participants with heart failure or LVEF <45%, both the 4-year primary composite endpoint and cardiovascular death or MI were significantly lower in the invasive treatment arm 1.

Important Considerations and Pitfalls

  1. Timing of previous CABG: With the patient's CABG performed 24 years ago, graft failure is likely. The recent LHC (2023) results should be carefully reviewed to assess graft patency.

  2. Surgical risk assessment: Given the patient's reduced EF, careful evaluation of surgical risk is essential. Tools like the STS score should be used to estimate perioperative risk.

  3. Completeness of revascularization: If PCI is chosen, aim for complete ischemic revascularization rather than just anatomic revascularization.

  4. GDMT adherence: Regardless of revascularization strategy, adherence to GDMT is independently associated with reduced mortality in patients with CAD and HFrEF 3.

  5. Avoid delay: The presence of peri-infarct ischemia indicates viable myocardium at risk, which should be addressed promptly to prevent further deterioration of ventricular function.

This treatment approach prioritizes mortality reduction and quality of life improvement through addressing the underlying ischemia while optimizing medical therapy for heart failure with reduced ejection fraction.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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