What are the treatment options for coronary heart disease?

Question

Hello doctor,

My father was admitted to the hospital last month due to pain in his stomach, left hand, and shoulder. He has been hypertensive for the last two years. After conducting some tests, the doctor indicated that there might be a problem with his heart. I am attaching his reports and prescription.

Please share your opinion.

Answer 1

Hello,

Welcome to icliniq.com.

I have carefully reviewed your father's reports (attachment removed to protect the patient's identity). He has two problems: a heart disease called coronary artery disease and gastritis. His ECG (electrocardiogram) shows abnormalities, and his troponin level is elevated, indicating a heart attack. However, the echocardiogram appears grossly normal, meaning there is no significant damage done yet. The medications he is taking are appropriate, and he needs to continue them. He should undergo angiography, and if necessary, stenting, to prevent further heart damage. His creatinine level is elevated, indicating potential kidney damage due to high blood pressure.

Therefore, his blood pressure must be accurately controlled by doing the following:

Healthy lifestyle: He should avoid fatty, oily, and high-calorie diets.
Low salt diet: Monitor blood pressure regularly—three times a day for one week, then once or twice a week. If his BP is consistently above 140/90 mmHg or even 130/90 mmHg, medication should be adjusted.
Regular exercise: Engage in regular exercise, such as brisk walking and jogging, according to his capacity for at least 30 minutes a day, five days a week.
Dietary changes: Increase the intake of green leafy vegetables and fruits, and consume fish once or twice a week while avoiding meat.
Avoidance of smoking and alcohol: If applicable, he should avoid smoking and alcohol.
Weight management: There should be no abdominal fat deposition or obesity.

For gastritis, please follow these recommendations:

Dietary adjustments: He should avoid fatty, oily, and spicy foods.
Post-meal activity: Go for a walk after meals instead of resting.
Meal frequency: Have multiple small meals instead of heavy meals.
Sleep and stress management: Maintain regular sleep habits and avoid stress.
Antacid use: Continue the antacid he is currently taking.

I hope this helps you.

Please reach out if you have any questions.