Dear Doctor, I am 40yrs old. Last 07/08/2014, I am attacked in heart by stress. Local doctor`s comments are have palpitation, HbA1c-5%, TC-130mg/dl, HDL-40mg/dl, LDL-67mg/dl, TG-113gm/dl, ECHO Results are EF-67%, LV-Normal in dimension with Inferior wall hypokinesia, Mildly impaired LV Diastoolic function, ASD/VSD/PDA flow absent. CAG Results are 50% mid RCA block, 20-30% LAD block and small caliber 100% at distal part. Now I am suffering from cardiac abnormalities like- palpitation, sometimes BP is 80/50 and sometimes BP is 160/110. No chest pain, Modarate Physical movement induced palpitation high. Diabetes Melitus is my previous experience. My local doctor prescribed 1)metoprolol 12.5mg bd, 2) nitroglicerine 6.25mg bd, 3)trimetazidime 35mg bd. 4)aspirin150+clopidogrel150mg od, 5)clonazepam 1mg od and 6)Rabeprazole 20mg bd, 7)nitroglicerine spray sos. Here my questions are 1. Is my local doctor`s treatment appropriate? 2. Is pacemaker require? If not in both questions, plz give me suggestion/ medication.