<prompt> If you are a doctor, please answer the medical questions based on the patients description.sir my heart is dilated since last two years Latest eco repors are as follows .left ATRUM 46AOROTA ed 31 PWed13 IVSed 7 LVIDed 75 LVIDes62RVFWed-RVIDed24 2 2d ef 20 EDV308 ml ESV247ml THEMITRALVALUE IS NOT SUITABLEFOR BMV. Sir a qam not welthy enough to undergo pacemaker surgery at present iam feeling drouzzines all the time breathlessness even after a slitest exertioncannot take sound sleep please suggest me the proper medicine ayurvedicso that I may Become as before 2 years. Sir I have undergone by pass surgery in 1996 . Thanks Ravi Dubey Phone 0000 Hoshangabad Madhyapredesh Sir my present age is 69 Years  <response>: Hi your ejection fraction is just 20 you have valvular lesion if you cant undergo a peacemaking surgery follow medications advised by cardiologist you have breathless less on even mild exertion, clinically called sage 4 heart failure dont think that any ayurvedic medicine can help you even you have to follow allopatChatDoctoredicines by heart to get a bit better. Advice consult a cardiologist, ayurvedic will land you in bigger problems, even sudden cardiac death is very likely sorry 