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

### input:
Docter,I am 58 years old, and having bp and sugar and 5 years back  coroary heart disease one vessel stent put.  As per dr. advise I am taking prolomet am 50 mg, avas 10 mg, olmzest h20 and gemer 1mg. Now days I  am forgetting very frequently and staircase above two floor difficult to climb. plesae suggest it is due to medicinal effects. (my bp leve/90/150, fasting sugar average140 to 160)

### output:

Hi, After going through your case I want to know - 1) You are unable to climb stairs it is because of breathing difficulties or chest discomfort or because of leg pain. 2) Any habits like smoking, alcohol. 3) 2DEcho report done at the time of stenting. 4) Any puffiness of face or swelling over body. 5) Imbalance while walking, slurred speech. 6) Forgetfulness is for short time or longer duration. Following investigation are advisable in your case-1) ECG comparison with old ECG is important. 2) 2DEcho to know pumping capacity of heart and any abnormalities of heart wall motion. 3) Fasting and postprandial blood sugar levels, HbA1c level to know your Diabetes control. 4) Lipid profile to know cholesterol levels. 5) Kidney and liver function tests including ultrasonography. Difficulty in climbing stair may be due to impending heart failure that might be due to new heart disease if leg pain is there may be claudication due to complications of diabetes on blood vessels of legs (peripheral arterial disease) Forgetfulness might be due to side effects of Medicine like proposed, hypoglycemic (low blood sugar levels) episodes or impaired blood flow to brain. So it is advisable to consult cardiologist and also neurologist for neurological Examination.