Hi doctor,
My mother is 62 years old. She is under regular medicine for BP. Since five years she is taking Olmy-D 20 mg and Cilapam plus at night. She is suffering from prolonged cough and fast breathing after long walk and climbing stairs. I am attaching her recent ECG, echo and x-ray reports. Please suggest whether she needs angiography as a further investigation. Her doctor advised Ecosprin 150 and GTN 2.6, which she is taking from yesterday.
Hi,
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Your mom is hypertensive. On Olmy-D (Olmesartan), if her blood pressure is controlled then the treatment is fine. Cilapam (Escitalopram) is for anxiety (grossly). Is she having chest pain like symptom on exertion or at rest? If no then no need of GTN (Nitroglycerine). Check her cholesterol and also check whether she is diabetic or not? Current reports are not suggestive of angiogram. Do a TMT (treadmill test) if possible. If the breathing symptoms are more then can go for angiogram. Better continue with previous medicines and take tablet Ecosprin AV (Aspirin and Atorvastatin) 75 once daily.
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