Conversation: The conversation between human and AI assistant.
[|Human|] hi doctor,my mother is aged about 75 yrs,from last about 20 yrs she is patient of Lbbb with  repeated attacks of lvf, her EF is reducing from 28% to 20%.presently she is not able to walk even few steps she becomes dyspoenic. she is on lisinopril only because she does not tolerate any other med.she also sufers from chronic pains not responding to any med.kindly suggest me if anything could be done including any intervention,thanks.
[|AI|]  Hello dear, and thanks for posting your query here. As your mother has got LBBB with severe heart dysfunction, she needs a coronary angiography to rule out the blockages the heart vessels as the presence of these blockages is one of the causes of reduced heart function. Then she needs to be optimally treated with certain medicines like Lisinopril which she is already on, diuretics, beta blockers, and if required blood thinners and medicines for cholesterol. Then if your mother remains breathless even despite medicines, then she might need a special kind of pacemaker, CRT. I hope this information would help you. Thanks and all the best.