### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Here are the details of the surgery my father had undergone : admitting diagnosis : coronary artery disease, recent itferior myocardial infraction,s/p PTCA to RCA (Sep 2011) ,total rupture of posterior papilary muscle of the mitral valve, severe refractory pulmonary oedema,s/p atrial septostomy, cardiogenic shock with iabp support,normal sinus rythm,severe pulmonary artery hypertension,nyha class iv. final diagnosis : s/p emergency mitral valve replacement with 29 size medtronic hall tilting disc prosthesis done under cardio pulmonary bypass on 8th Sep 2011 course in hospital : patient was admitted with aprovisional diagnosis of total rupture of the posterior papilary muscle with severe refractory pulmonary odema in NYHA class IV and on IABP.the patient underwent emergency mitral valve replacement with 29 size medtronic hall tilting disc prosthesis done under cardio pulmonary by pass on 8th Sep 2011 the intra operative and immediate post operative period was uneventful the post operative echo showed : mitral valve prosthesis well seated,triv leak , mitral valve gradient -6/4 mm hg, no aortic regurgitation,triv tricuspid regurgitation,right ventricular systolic pressure 30 mm hg, no pericardial effusion,good left ventricular function . could you please advise me the precautions /preventive measures / restriction in dialy life style for this

### output:

First whatever medicine are prescribed should be taken on regular basis without default. Healthy lifestyle, brisk walking, low salt, sugar and fat diet. Avoid addiction. Patient must be some blood thinners for which he must have been advised test of INR which should be maintained between 2.5 to 3.5. This is important if INR is less than 2.5 then there is risk valve beings tucked and emergency presurgery and if more than risk of bleeding.