63  years old male pt 
knonw to have  HTN  for the last   10 years 
cad  with  pci to   rca  2019
lad 2021
d1 prox  
total d2
C CATH  IN 2019 
CHF   with redused  ejecion  fraction   30-35%
ckd  with     acr       1500    creatinien  2  in 9/20224
3/2025 n it  was  1,6

today he came for follow up 
crewatinine  2 
serum electrolytes  normal 
urine analysis normal 
cbc  normal 

medication
empa   or   forxiga  
alfaca  0.25  eod 
entresto  50  am  and  50  pm 
liponil    40 mg ocne 

conconr  2.5 mg ocne 
asa  100 mg once 
lasix  alf  tab daily 

rtc after one   months