### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 65yrs old, suffer from triple vessel disease and gone through angioplastie for the same in 2001 and 2006. for my blood pressure control i have been prescribed the folloeing medicines;- Telma 80md OD METRAPROLOL 25 MG OD DYTOR5mg OD MINIPRESS5MG HS atorva 20mg OD clopid 75mg ecosprin 150mg hs 2. of late ihave developed swelling of my right ankle while walking 3,ihave doppler done for LL FOR artey and also for veinous. both results show normal condition 4. pse advise the reason for this ankle swelling

### output:

HelloWelcome to Chat Doctor. Swelling in the legs can be caused due to heart muscle dysfunction or LV dysfunction. Since you have a history of heart disease, there is a probability that the swelling may be due to LV dysfunction. You have not mentioned you LVEF here, which would help us determine the cause. Another cause is weak valves of the leg veins. As we grow older the valves in the veins of our legs become weak leading to pooling of blood in the lower limb veins due to gravity. Since you have done a bilateral LL scan then this cause can be ruled out. Another cause is protein deficiency. Protein deficiency can cause swelling in the feet which can retreated by protein supplements. Please do a 2 D echo and a serum protein, albumin levels to find the cause of the leg swelling. In the meanwhile continue actor tablet which will reduce the swelling. . Wishing you good healthRegards