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

### input:
I WILL TELL YOU THE PROBLEM HAPPENED WITH MY FATHER, HE ALREADY HAVE A STUNT IN HEART AND IN THE MONTH OF JAN 14 HE FACED THE PROBLEM AS HE CANT BREATH PROPERLY AND WE RUSH TO THE HOSPITAL WHERE THEY TOLD THAT DUE TO HIGH BP AND HEART WENT INTO FAILURE AND THE WATER WENT INTO KIDNEY SO THAT WE FIND OUT THE WAY HOW THEY PASS THE URINE AND IF HE PASSED THE URINE THEN HE WILL BE OKAY AND THEN HE IS OK WITH IN TWO DAYS AND THE SAME PROBLEM WAS HAPPEN IN THE MONTH OF MAY AND THIS TIME WE ARE REACHING LATE IN HOSPITAL AND DOCTOR TOLD THAT THEY HAVE 80 PERCENT CARBONDIOXIDE SO THEY PUT HIM ON VENTILATOR AND THE SAME THING WHEN HE PASSED THE URINE HE IS OK AND WE DISCHARGED FROM HOSPITAL WITH IN THREE DAYS AND OUR DOCTOR SAID NOW HIS HEART IS 22 PERCENT WORKING AND WHEN THEY DONE ECHO IT SHOWS 35 TO 40 PERCENT AND WHEN HE FACE THE PROBLEM AT THAT TIME HIS HEART IS 22 PERCENT. AND NOW THE DOCTOR HAS GIVEN THE LASIK MEDICINE FOR URINE AND TOLD IF HE FEEL THE URINE WILL NOT COME PROPERLY AND HE SHOULD BE INJECTED WITH LASIK INJECTION AND RUSH TO THE HOSPITAL AND ALL OUR FAMILY MEMBERS ARE CONFUSED IT IS VERY DIFFICULT FOR HIM TO MOVE ANYWHERE OUT OF THE CITY ALONE, SO PLEASE SUGGEST US ANY OTHER WAY OR NEW TECHNIQUE WITH WHICH HIS HEART IS WORKING MORE THAN 22 PECENT.HIS AGE IS 71 YEARS.

### output:

Hi, Whenever there is increased workload on heart with low pumping capacity, pumping further decreases and heart cannot pump adequate blood out of its left lower (left ventricle) chamber and there is back pressure on left upper chamber (left atrium), lungs, and right side chambers of heart. Which causes breathing difficulty (due to pulmonary edema- fluid collection in lungs) and there is impaired gas (oxygen and carbon dioxide) exchange in lung and there is retention of carbon dioxide in blood. So main treatment of in such person is 1) To prevent further decrease in heart pumping - prevent further heart attack. 2) To prevent workload on heart.  Avoid undue exertion, short term illnesses. So it is advisable 1) Restrict daily water intake to 1 liter. 2) Use of diuretics like Las ix which help in removing extra water from blood and keeps lungs free of water. 3) Continue blood thinning medicines that helps in prevention of future heart attack. 4) use of Medicine like Beta blocker, ACE inhibitors or Arms that help in maintaining the pumping capacity of heart. 5) Regular check of blood pressure and keep it under control. 6) Regular check for lipid level and keep it under control using statins. 7) Diabetes control if present with medicines that can be used with low pumping capacity of heart, insulin is preferred. 8) Avoid smoking, alcohol. 9) Vaccination with pneumonia and flue vaccination that prevent frequent respiratory infections. 10) Avoid undue exertion. 11) Revascularization of heart blood vessels which are at risk (this can be known from coronary angiography report) this help in preventing heart attacks. I think this is enough information. If you find it helpful then please do vote.