Dear sir My bhabhi namely shradha pandey 39 years old recently diagonsed at cmc vellore 23.07.2013 for severe LV Dysfunction with sinus rhythem and narrow qrs..she has been advised to take 1.Ecosprin av 2.carloc 6.25 mf,3.Ramcor 2.5 mg 4.Adactone 25 mg 5. Dytor 10 mg ,6.Dixin 0.25 mg and further advised coronary angiogram in next visit..but on 01/08/13 and 03/08/2013..she vomited and she used to vomit occasinaly ,not feeling hungry for taking food local doctors has advised her domperidone mixed with omaprazole tablet but..last night on 4.08.2013 she again vomited consequently i consulted local doctors and advised to take onden 4 ( ondesterone ) ...she is not vomiting for the time being.. kindly help whether she may be referred to some other physician for that.