Got heart attack on June 10, 2018 thrombosuction done.introcoronary STK and GP2b3a infusion given through CAG, as 100% lesion in LAD seen,stent not installed. At the time of discharge from hospital, LVEF 25% , PR 84/ min, BP 120/80, medicine adviced 1 . Aspirin 75 mg 2. Ticagralor 90 mg 3.Atrovastatin 40 mg 4. metoprolol XL 25 mg 5. Flavedon MR 35 mg 6.glycerylenitrate 2.6 mg7.pentoprazole 40 mg 8 Augmenting duo 625 mg (for 3 days). After 1 month echo done July 10 , 2018,LVEF 35% , LVRWMA+, LAD territory hypokinetic, LA/LV dilated, mild MR/ no MS, trace TR/ no TS, RSVP- 25 mm of hg, other valves normal, no precardium, no intracardiac mass, final diagnosis: IHD/ Moderate LV Dysfunction. medicine adviced : ecosprine 75 mg 2 clopidogrel 75 mg 3. Atrocastatin 40 mg 4. metoprolol XL 25 mg 5. Fruselac 6. Glycrylinenitrate 2.6 mg 7. Rabeprazole 20 mg . After 1 month same medicine repeated and echo done on 14 August 2018 , LVEF 30% , but in MIBI scan LVEF 19%, non viable LV dilated,pl advice