<s>[INST] my fathers age was 60. he was known diabetic {type 2}and hypertensive, he underwent 2d echo for D.O.E. which reveal as follows. ischaemic cardiomyopathy with dialated L.V..severe L.V. systolic dysfunction and type 3 diastolic dysfunction.can u just explain me the present condition and prognosis and  necessary care to be taken. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. This 2d echo report is not good for prognosis. It clearly says that his heart is not functioning properly. Pumping of heart is reduced. So fluid circulation in the body is also disturbed. So fluid tend to accumulate in body organs like lungs, abdomen, lower limbs etc. Fluid in the lungs (pulmonary edema) is the cause for his breathlessness. So better to consult cardiologist and get done blood pressure monitoring. Strict control of blood pressure and diabetes are needed. He needs diuretics (Las ix or horsehide) to remove excess fluid from the lungs. Oral fluid intake should be less than 1.5 liters in a day. He also needs cardiac isotropic (digoxin) Chat Doctor.  Honestly speaking prognosis in such case is poor, and life expectancy is less than 2 years. Better to consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>