Hello doctor, My father aged 78 years is suffering from heart artery blockage with COPD. He underwent an angiogram, ECG, and related blood tests. Currently, he is taking the following medications for the last six months as per the doctor's advise.  Nitrocontin 6.4 mg two times. Concor Cor 2.5 mg once. Nikoran 5 mg two times. Ranozex 500 mg three strips two times. Aerocort Rotacap three times. Amaryl 1 mg once early morning. Deplatt a 75 once at bedtime. Roseday 10 mg once at bedtime.  Of late, my father is experiencing chest pain during urination, bathing, bedtime and took Sorbitrate 5 mg half. Please suggest if any further medication or increased dosage is to be given to avoid surgery. If a cardiac arrest happens what medicine should I give before taking to the hospital?
Hello. Medication wise, your father is on the maximum dosage. You could also try adding Flavedon MR (Trimetazidine) 35 twice a day. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. But, I strongly feel after going through the angiogram report (attachment removed to protect patient identity) that he needs early CABG (coronary artery bypass grafting)/ staged PTCA (percutaneous transluminal coronary angioplasty) as recommended by the treating cardiologist. The only treatment for sudden cardiac arrest would be immediate cardiopulmonary resuscitation and rushing him to a nearby hospital. Intravenous drugs should only be administered in that setting. Regards. For more information consult a cardiologist online -->