Hello! Welcome and thank you for asking on HCM! I passed carefully through your question and would recommend performing a coronary angio CT scan or coronary angiogram in order to examine better the coronary arteries. Stent implantation or bypass surgery may be necessary based on the coronary angiogram. Meanwhile, I would recommend continue on these drugs and try to reduce your cardio-vascular risk factors: - maintain a normal blood pressure - avoid alcohol intake - avoid smoking contacts - check periodically your blood lipid profile and fasting glucose in order to treat possible dyslipidemia or diabetes - try to lose some pounds if you are overweight - use a balanced diet (Mediterranean diet is recommended) - perform a lot of physical activity (walking, aerobics, Yoga, etc.). Regarding your stomach, I would recommend using omeprazole twice daily. You should take ecosprin only after meals. Hope you will find this answer helpful! Wishing good health, Dr. Iliri