Conversation: The conversation between human and AI assistant.
[|Human|] my brother is 16 years old.He is suffering from chronic kidney since august. now his heart has been enlarged and functioning is reduced to 20%.now he is doing home dialysis i.e., capd. please tell any method or treatment so that his heart functioning may improve
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Chronic kidney disease patients are tended to damage their heart in long run. This heart damage will reduce heart functions. So we should give following Chat Doctor.  1. Cardio selective beta blocker (metoprolol). This will prevent heart damage. 2. Angiotensin converting enzyme (ACE) inhibitor like Enalapril or captopril. This will prevent remodeling of heart tissue. 3. Digoxin. This will improve force of contraction of heart muscles and hence improves heart functions. So discuss starting these