instruction: hello doctor I am 61 years old male 80 keg weight 165 am height and I am a diabetic for the past 18 years and now I am on low cargo high fate diet veto I am taking now januvia 100 my tablet 0 I had a pricing pain in the heart side of chest two days back and went to a hospital they have taken egg echo and blood test and found normal and hence they asked me to go for it coronary angiogram find attached the it angio report please advice me what medicine I should take now to avoid heart attack in future
output: hello 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 30 percent blockages would not cause any pain in my opinion you should be on antiplatelet station combination like ecosprin av 75 10 my 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 tit testing every 3 yearly to keep check on the blockages hope this helps you and get back if you have any doubts