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

### input:
79 years, Male. 177 cm 90 kgWhere in Bangalore can I get angioprim treatment, to cleanse arteries?   Without Drugs, BP: 205/70 Pulse 60With Drugs, BP: 140/60 Pulse 50; sometimes 45Medicines taken:Aten          25 mg  1-0-1 Atenolol Beta BlockerNatrilix SR 1.5 mg 1-1-1 Indapamide  For high BPFelogard ER 5 mg  0-1-0 Felodipine For high BPFlavedon MR 35 mg 1-1-1 Trimetazidine IschaemiaKorandil 10 mg   1-1-1 Nicorandil SR VasodilatorNitrocontin CR 6.4 mg 1-0-1 Glyceryl TrinatrateStorvas 20 mg   0-0-1 AtorvastatinDeplatt A 75 mg 0-1-0 Clopidogrel & AspirinDiamicron MR 60 mg 1-0-0 Gliclazide Glycomet SR 1 g 1-0-1 MetforminVasanth

### output:

Hellithanks for posting here.I have gone through you history and medications. Which suggest you have hypertension, diabetes and ischemic heart disease. I suppose that you have undergone a coronary angiography, and may be having blocks in your arteries. that's why I guess you are confused about the options of angioplasty or bypass surgery or angiogram. But being a cardiologist and been in practice for 6 years I would never advise any of my patient however old/young and whatever risk factors they have; to undergo election or angiogram. Coronary angioplasty and bypass surgery are the real treatment options for coronary artery disease and people can live a long symptoms free life after a bypass or angioplasty. The bypass grafts as well as angioplasty stents last well for 10-15 years at least. Angiogram on the other hand is very unpredictable and insecure procedure. I would not advise you to do this. Thank you