This 58yr old Omani national had blockages of all three arteries of the heart(LAD 80% mid;LCX 60% proximal;RCA 100% mid). His heart was dilated and globular with EF 45% and severe MR-mitral regurgitation
He has severe hypertension and had one episode of Acute LVH (left ventricular failure) leading to pulmonary edema, needing hospitalization. Cardiologists and cardiothoracic surgeons in South Africa advised immediate Bypass Surgery
In January 2009 his condition deteriorated and he had heaviness of chest with severe breathlessness on minimal exertion. He consulted his cardiologist who said nothing more could be done.