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Plagerine 75 MG Tablet Health Feed

Asked for male, 68 years old from Mumbai
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I am 67 years old. I have undergone angioplasty and by pass operations 7 years back and 5 years back respectively. I am still having problem of breathing. I also have diabetes range 325 post lunch. I am having thyroid for last more than 30 years. I am also having bp problem. My bp for the last more than two months is not in control. It is 90-100 low and 140-160 high. Recently, on 23.06.18 thyroid was checked it was found. T3 77.69. T4 6.9 and TSH 27.775. I am taking thyrox 100 tablet early morning. I am also taking following medicines daily. Morning Gliclazide & metformin HCI tablet of Jan Ausadhi 1 tablet for diabetes. Amlip 2.5 1 tablet. Metaprol xl 25 1 tablet. I take following medicines in the late evening. Clopidogrel Tablet IP 75 one tablet. Ecosprin 75 one tablet. And Atorvastatin tablet Ip 10 mg. Kindly advise to control bp, diabetes thyroid etc.

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, Thanks for the query.
I have gone through the details given and notice that you do have multiple issues. In addition your BMI is 29 kgs/Sq Meter, which is very close to grade 1 obesity. This itself is a major contributor for improper control of diabetes and high BP. Plus it is possible that due uncontrolled hypothyroidism there is excess weight gain. Your ideal weight should be around 59 kgs, as against that you are now 79 kgs (20 kgs excess).
When one is on adequate do...more
Asked for male, 65 years old from Delhi
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I was admitted to hospital a week ago with symptom of ghabrahat from last 2 days. On several check up in hospital, I am diagnosed non diabetic, non hypertensive, non smoker. My coronary angiography was done which shows single vessel disease for which stress thallium was done and advised medical therapy. Discharge summary says final diagnosis - cad- actuate coronary syndrome, nsr- no ccf, b12 deficiency. cholesterol total - 207, triglycerides - 151, hdl - 45, ldl - 136, vldl - 26, hdl ratio - 4.60.coronary angiography report says - left main, lad,lcx are normal and rca - dominant, 80% distal stenosis, jerky movement at lesion site. Stress myocardial perfusion imaging shows global resting lvef - 56 +- 5 % with impression adequate stress and good effort tolerance, no scan evidence of stress induced reversible ischemia noted jn lv myocardium, normal resting systolic lv function with no rwma as estimated by quantitative gated spect. Stress total severity score - 23, rest total severity score - 52, reversibility total severity score - 0.tab ceruvin a 75 mg, tab rosuvas 20 mg, tab me 12 was advised. I want to know what medical procedure should we continue? Should we go for angioplasty/stent or should continue with medicine to clear the blockages? If you want I can send the report to you.

Cardiologist•Gurgaon
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Hello Mr. lybrate-user,
your stress thallium report says "no scan evidence of stress-induced reversible ischemia" -,it means even under stress there was no compromise in the blood supply in the area supplied by the blocked artery (rca 80%) so no angioplasty is needed now. You should just continue with the medication advice and follow good lifestyle -- regular exercise/ daily 2-3 km walking- restricted -low-fat diet - and follow up with your doctor if any new symptoms arise. Cholesterol level...more
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