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HomeAnswersCardiologyischemic heart diseaseKindly share your opinion about the health condition of my mother.

Is the treatment prescribed for chronic ischemic heart disease correct?

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

Answered by

Dr. Ilir Sharka

Medically reviewed by

Dr. K. Shobana

Published At February 24, 2018
Reviewed AtFebruary 23, 2024

Patient's Query

Hello doctor,

I would like to ask you for a second opinion on the treatment prescribed for my 53-year-old mother by a cardiologist. She was diagnosed with chronic ischemic heart disease following a routine ECG which I would like to send you, and the blood tests indicated a cholesterol of 280 mg/dL. The symptoms are not too obvious, she says she had two to three bruises in the heart area in the last few years. The treatment is Pentaerithrityli tetranitrate (two per day), Aspenter (one per day), Rosuvastatin (one per day), Plavix (one per day), Metoprolol succinate 47.5 (two per day). Doppler ultrasound was normal and only EKG had abnormalities. Thank you in advance.

Answered by Dr. Ilir Sharka


Welcome to icliniq.com.

I reviewed the therapy prescribed by the doctor and I agree with it. It contains a blood thinner (Aspirin and Clopidogrel) to help prevent blood clots in the coronary arteries, a beta blocker to lower the heart rate, a nitrate to help increase the blood flow in the coronary arteries and a statin to help lower cholesterol levels. I would just recommend reducing the dose of Metoprolol in case of a very low heart rate (below 60 BPM), or if she is experiencing chronic fatigue. Hope you will find this answer helpful. For more information consult a cardiologist online.

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

Dr. Ilir Sharka
Dr. Ilir Sharka


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