56     years old male pt 
dm   2004 
htn   since  2004 
2020   c  cath     with    stent 
echo  was done and showed 
stroke 
echow as done  in 2024  showed  ejection fraction    66%  with normal valve 

creatinine  in  2025    april  was 0.8 

protein  in urine  2
creatiinin    7/2025  was  1,5  8/2025  was  1,8

medication 
exforg  160/10 
anapril  20 m g once 
lasoix  40 mg once 
metformin 
nexium 
cadex  2 mg ocne 
lasix  40 mg   1x2  eod  with 1x1
asa   100 mg onc e
plavix   75 mg once 


plan 
stop anapril 
stop  exforg 

plan 
add amicro  5mg  1x2 
add   cadex  4x2 
add biosolve 
add  dee dense 