Can a 25 years old boy fully recovered after 1st heart attack? left ventricular ejection fraction - 35% / left main: normal / left ant. desc.: proximal 40-50% plaquing / left circumflex: normal / obtuse marginals-1 : normal / rca: normal?

"Full recovery" from the data given in your question would be possible but may require stents or even open heart surgery (CABG) to correct the obstructive coronary vessel disease.

The underlying cause of the coronary disease should be determined. If obese, weight reduction program. A Staying may be indicated, please discuss with your physician. Monitor BP closely

I agree with Dr. Corocaju. With this coronary angiogram result, you less likely have a moderate to severe cardiomyopathy due to ischemia, especially at 25 years old. You should see another cardiologist for a second opinion if needed.

In younger patients, many genetic issues can result in vascular problems. Would confirm that one area was evaluated, that of homocysteine elevation, and potential MTHFR genotyping. The other suggestions should be heeded.

It is characteristic that only one coronary artery is involved when myocardial infarction occurs in a very young adult. An ejection fraction of 35 is quite low & indicates substantial damage to the left ventricle. It would be a good sign if late remodeling occurred with eventual improvement in the EF. Carvedilol sometimes is used. This patient requires close follow-up by the cardiologist