Regarding your medications, it is generally safe to take Ecosprin AV 150/20 (containing aspirin and atorvastatin) alongside your 50 mcg of thyroxine. To ensure both work effectively, take your thyroxine first thing in the morning on an empty stomach, and take your Ecosprin AV at a different time, typically in the evening. Please consult your doctor to review your TSH levels and adjust your dosage if needed.

Since your heart is healthy, your symptoms could be due to other common causes. A 15-day cough can easily strain chest and shoulder muscles, causing discomfort. Also, medications like aspirin (in Ecosprin AV) can sometimes trigger acid reflux, which often presents as chest tightness, shoulder pain, and a persistent cough. Alternatively, a mild respiratory infection could be the cause. I gently encourage you to consult your doctor to evaluate you for acid reflux or a respiratory issue so they can help you find relief safely.

While lowering cholesterol greatly protects your heart, chest pain can sometimes persist for other reasons. At 27, chest pain can often be related to muscle strain, acid reflux, or anxiety, rather than your heart. Since I cannot see your ECG report here, please share it with your doctor. I highly recommend having them review the ECG and evaluate your ongoing chest pain in person to ensure you get the right relief and peace of mind.

Taking Ecosprin AV 75/10 instead of Ecosprin AV 150/10 for just four days is very unlikely to cause any harm. Both doses contain the same amount of atorvastatin (10 mg), and while the aspirin dose is lower (75 mg instead of 150 mg), 75 mg is still highly effective at protecting your heart. You have not missed your medication; you just took a slightly lower strength. I recommend restarting your prescribed Ecosprin AV 150/10 dose starting with your next scheduled pill. Please let your prescribing doctor know about this.

Since your blood pressure remains high despite taking olmesartan medoxomil and your aspirin/atorvastatin combination (Ecosprin-AV), please consult your doctor. They may safely adjust your medication dosage or add a complementary blood pressure medicine. For lifestyle support, focus on a low-sodium, heart-healthy diet, and engage in gentle physical therapy tailored for your left-sided paralysis to promote circulation. Please monitor your blood pressure daily at home and share these readings with your healthcare team to help guide your recovery.

After an angioplasty, it is important to rest and avoid strenuous activity for a few days. Take your prescribed medications, especially blood thinners, exactly as directed. Follow a heart-healthy diet low in saturated fat, salt, and sugar. Maintain regular physical activity once cleared by your doctor and attend all follow-up appointments. Watch for chest pain, swelling, or bleeding at the catheter site, and contact your doctor immediately if any of these occur.