uncle has gone through myocardial infarction recently after angioplasty in 1999 and bypass in 2009. Ejection fraction currently is 20. blood pressure 80/52. saturtion 96-100 heart rate 90-100 resp rate 18-30. He is on drugs currently and has to use cpap and bipap sometimes. please suggest some treatment or advice
Because of myocardial infarction your uncles' heart has become weak as compared to normal humans, the main problem is its inability to maintain normal fluid balance, medical management is what I would help you.  Fluid restriction less than 1 Lt a day mallow salt Chat Doctor.  Carvedilol, metoprolol, ace inhibitors like April, diuretic furosemide with Gladstone, statin, aspirin may be titrated as per his BP(which is low) heart rate and other vitalsDigoxin may be considered Lastly look for synchrony, if present CRT, dual pacemaker like think may help improve pumping Sir the question you asked required detailed discussion after reviewing all available reports and treatment he is already.  For further information email Priyankmody86@gmail.com