Hi Doctor. I am also a Doctor in the Philippines and I have a patient with lateral wall ischemia. I already ordered the necessary work up but not completely as He is out of budget. he is also hypertensive which I already treated. He is asymptomatic. What meds can I give aside from his antihypertensive med? His creatinine is 924.
Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Alternative to hypertensive therapy is the diuretics and dietary control of sodium chloride or salt in the diet. As you described the patent is having high value of creatinine I advise you to take diuretic which can clear the fluid from the body. Salt restriction in the diet can also be useful. Even small restriction in diet can reduce much blood pressure. There is also need for him to start exercise. You advised him to start with low exercise and then you can start the gradual high exercise. Please avoid extreme exercise as the patient is having high ischemia. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.