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Myocardial infarction happened on 25.07.2006, details is given under for better understanding of the question?


i had MI on 25.7.05, diagnosed as IW + RVMI, thrombolysed with stk, tmt done +ischemia. coronary angio on 25.10.05 - revealed recanalised RCA with good LV function.pulse 72 regular rhythm BP 130/80 JVP not elevated, no cardiomegaly, S1 S2 normal limits. platelett count was referred as 669.0 k/ul. I have bronchial asthma. cholestrol - 180 mg/dl triglyceride - 184 hdl - 32 ldl-111.2 vldl - 36.8 mg/dl - medicines now taking - aspirin+clopidogrel 75 mg / metoprolol succinate - 25mg / atorvastatin & ezetimibe -5+10 mg. On the above details I would like to know how far i have to take the medicines and what r the precuations for future. I had a irregular smoking habit, quit after 25.07.2005. Now i am having low cholestrol/fat diet and with 90 ml alchohol twice in a month. is alchohol in permissibe limits. what type alchohol is suitable. I have regular sex. I go for walking 30 mins. and play badminton twice a week. No discomfort during the physical activities. no satisfactory ans from doctor

I would suggest asking a doctor, but it appears you've already done so. To call it safe, I'd stay off the alcohol as much as possible. You have plenty of recreation to stay healthy, but that doesn't completely prevent a reoccuring issue. As for the medication, that is definitely a doctor issue that I wouldn't take advice from off this page.

Once you have had an MI, you will always carry the diagnosis of ASCAD (atherosclerotic coronary artery disease.) That mandates that you aggressively treat the risk factors for ASCAD which are smoking, diabetes, high cholesterol and high blood pressure. Also obesity. For LIFE! Cardiovascular exercise is important because it causes the heart to develop additional blood vessels to supply the heart muscle which provides alternate blood flow in the event one becomes plugged with a clot.
So far you have made an excellent recovery and you are on an excellent regimen of meds. You will need to take these for the rest of your life because of the above reasons. You quit smoking and are exercising.
So, your goals should be to get your LDL below 100. You didn't mention your HDL but your goal should be >60 which is difficult so you do the best you can. Your BP should be down a little 110-120/60-80is better with resting heart rate around 60.
Alcohol is alcohol as 12oz beer=5oz wine=1 oz liquor roughly so no more than 1-2 servings a day. None is best.
You should always have a fresh bottle of nitro with you to use in the event you develop angina.
Keep up the good work!
A final note is that you can only receive streptokinase once so be sure to have that you received it on a list of meds and your info about your MI on a card that you carry in your wallet.

Probably for the rest of your life.

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