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

### input:
i aged 64 yra ; 5.5 cms ;87 k.g and under went byepass heart surgery ,replacement of mitral valve cms with tissue valve in 2007.-- l a -- edd-5.4cms ;esd-3.7cms ;ef-58% ;pw-3cms;edv-ml;esv-ml;ef% doppler --mild tr-jetvel-3.2m/sec ;mild ar ;pr ppg-34mm,g ;ppg-41mm;rvsp-mmgh ;mvg ppg-14mm;;mpg-4mm.g;pbf-1.3,/sec ;avg ppg 57mm/g mpg-37mm.g;vii-102 cms. other findings are hypokenesiaof interor wall. pl cna you go through the above and inform my heart position and medicines.

### output:

Hi There After going through the details provided it seems like you have undergone CABG with MVR probably you had an inferior wall MI with MV pathology severe enough to be considered for replacement at the time of CABG. Luckily your ejection fraction (EF) is still good (58%) which means that your heart is pumping adequately, rest it seems u have a moderate PAH as your RVSP is 44mmhg which means your right heart valve which is tricks pis valve is leaking to a certain extent which can be taken care my medicines like diuretics. Your EDD which means end diastolic dimension and ESD both are within normal limits meaning your Left a ventricle is not dilated and is in good condition. Overall it's good. Rest regarding your medicine query I personally want you to take them as advised by your cardiologist. Wish You Good Luck