HomeAnswersCardiologydiabetesWhich medicine can be taken to avoid heart attack in a diabetic?

what drug prevent heart attack in diabetics?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At February 25, 2020
Reviewed AtApril 18, 2024

Patient's Query

Hello doctor,

I am 61 years old, male with a weight of 176 pounds and height of 5' 4"and I am a diabetic for the past 18 years and now I am on low carbo high fate diet (Keto). I am taking now januvia 100 mg tablet 1-0-1. I had a pricking pain in the heart side of chest two days back and went to a hospital they have taken ECG, echo and blood test and found normal and hence they asked me to go for CT coronary angiogram. Find attached the CT-angio report. Please advice me what medicine I should take now to avoid heart attack in future.

Hello,

Welcome to icliniq.com.

It shows minor disease only. So, need to focus on healthy lifestyle which I guess you must be having, which includes healthy diet like avoiding oily fatty and high calorie diet. Regular exercises like walking or brisk walking according to your capacity. Such pricking pain are usually related to gastritis and reflux disease rather than cardiac. However, you may experience some exertional pain due to myocardial bridging which is usually benign. These 20 to 30 percent blockages would not cause any pain. In my opinion, you should be on antiplatelet statin combination like Ecosprin AV 75/10 mg bedtime for long term, for preventive purpose. So, should discuss this with your treating doctor. If you get any pain on exertion which relieves with rest, then it may be due to myocardial bridging, then you may require beta blockers like Metoprolol. In the future, you should also undergo echo and TMT (treadmill test) testing every two to three yearly to keep check on the blockages. Hope this helps you and get back if you have any doubts.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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