I was attacked by htn with ihd(old asw infaraction) on nov having original pain on exertion. then i advised by dr. to take medicine aten,stamlo,renitidine,ecosprin, monotrate etc. i was in regular check up last 10 years. last sunday i.e 16.08.09 i suddenly faint in the station during the visit of my doctor for 2 to 3 minutes. then doctor told me according to electrocardiogram report that it is a case of left bundle branch block. then doctor advised me to implant pacemaker. then i take another cardiologist's advice. he done my ecocardiography . report shows:
lv size normal, hk anteroreptal wall valves normal,good systolic function, mod. diastolic sysfunction ,lvef-64%
also he done holter monitor.report shows:
lbbb â¯c 1â° av block,highest rate 126,min rate 60, mean rate 87
i admit their for 1 week. now he discharge me and told me to review after 1 month or sos and wrote in discharge card that it is a case of htn old mi . he told my relative come after 1 month or again he will be faint then i will implant the pacemaker. i have no chest pain and i am in my house with full assistance of my family. i am not going outside with out any assistance and not stepping up to my double storied building. take regular food.
my hb 10 gm, i never take drinks and i am not a smoker also and i am a total vegetarian.now i take monotrate 20,clopid 75, stamlo 5, atrova20 ,alupent 10(sos), omez20.
now what is your deceision? whether it is urgent to implant a pacmeker? or any other treatment is required for me? or you another advice to take better treatment? now my age is 78 .my cholesterol,lipid profile test is satisfactory, my recent pressure is 130/80.