Considering your medicine history and diagnosis as stage 3 ckd - chronic kidney disease
, even though blood pressure is controlled , we need to readjust drugs like ramipril after creatinine
reports . These drugs are not used in kidney related diseases .
The other complaint of dull chest pain
is also significant .
Consider 1 ECG and lipid profile
2 stress test
TMT - if positive , consider for coronary angiography
3 or else , we can directly also carry out angiography to know status regarding blood supply of heart and its severity .
we may need to add anti anginal drugs like nitrates if chest pain is significant .
Further course will depend upon angiography report .