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I am 70 years old having hypertension and diabetes for the last 35 years. At the age of sixty I had accrue mayo cardiac infarction and under went angiogram and found 3 blocks in the arteries. Had cabg and put 3 bypass and under medication. After six months of the surgery I had another minor heart attack and done angiogram and found two blocks in the bypass and put two stents. Recent echo results shoes 60% of the heart muscle is damaged and 40% only in good shape. Heart pumping is slow and pulse rate is 40 to 45 per minute only. Now I am having constant angina and taking medications for the heart, hypertension and diabetes. Medicines taking daily Rand 500 two times Imdur 70 one Clopidogrel 75 one Ecosprin 150 one Metolar XR 25 one amlopres 5 two atorlip 20 one Amaryl 1 mg two Januvia 50 one Losar H 50 mg one Losar 25 mg one Lan 30 one Blood test results are normal cholesterol, lever function, kidney function, psa and urine analysis. HBA1C 6.1 Now Dr. Said as per the recent echo test heart muscle is thinned and enlarged little and this caused slowdown the pumping. Any other treatment I should take to prevent the heart from further damage. Please. Advise.
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First confirm that your blood sugar and blood pressure is under control, heart rate is regular. Then do an ECG. See if you have breathlessness. If you have constant anginal chest pain, Ramipril, a bets blocker such as Meyoprolol in slowly incremental doses. But you should consult a cardiolgist urgently in this regard.
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