I'm sorry to hear about the swelling and black spots on the legs, along with the history of heart disease and high blood pressure. These symptoms can be concerning and may indicate issues related to circulation, such as chronic venous insufficiency or complications from long-term hypertension and heart disease.

Key points to consider:

• Swelling (edema) in the legs can result from heart problems, poor circulation, or medication side effects.
• Black spots might be due to skin changes from poor blood flow, venous stasis dermatitis, or other skin conditions.
• Long-term use of multiple medications for heart disease and hypertension requires careful monitoring for side effects and interactions.
• The medication mentioned, Telvas H (a combination of Telmisartan and Hydrochlorothiazide), helps control blood pressure and reduce fluid retention but should be taken under medical supervision.

Recommendations:

• It is important to consult a cardiologist for a thorough evaluation of heart function and blood pressure management.
• A vascular specialist or dermatologist may be needed to assess the leg swelling and skin changes.
• Regular monitoring and possibly adjusting medications might be necessary to manage symptoms effectively.
• Avoid self-medicating or stopping any prescribed drugs without medical advice.

If symptoms worsen, such as increased pain, redness, warmth, or sudden shortness of breath, seek emergency medical care immediately.

Please arrange an appointment with a cardiologist and a vascular specialist to get a comprehensive assessment and appropriate treatment plan.To narrow down potential causes, we will need some more information.Please enter your age.