<s>[INST] Hello doctor, I am a 42 year old male. I smoke 30 to 40 cigarettes per day. I was admitted into a hospital last week with chest pain and underwent angiography, which showed triple vessel disease. ECG was showing normal rhythm with no evidence of acute ischemic changes. Troponins were mildly elevated at 21-30-22 ng/mL. Total cholesterol was 5.7 mmol/L and LDL was 3.8 mmol/L. I was discharged with medications (please see the attached pictures). My general practitioner told me to stay at home for at least a week. My main question is how serious does my angiography look? I was told by my doctor, that all three major vessels are affected. Does it need any surgery or can I stay just on medications? Can I continue working? I was told to stop smoking, but I cannot stop smoking immediately. Is e-cigarette good substitute or not? How long can I live with a disease like this? [/INST] Hi. For further information contact a cardiologist online --> </s>