How to prevent my father's congestive heart failure?
Patient: My dad is 84 yrs. old and on peritoneal dialysis.  He's also had 5 bypasses.  His pulse rate has been 33-35 and he has low blood pressure.  His kidney dr. has taken him off all of his heart meds now and he appears to be having congestive heart failure again- has a bad cough.  I'm very concerned.  Any help I can get would be much appreciated.  Thanks. Doctor: Hi There After going through the medical histrory provided by you of your father i would like to suggest that at the age of 85yrs, after going through bypass surgery being on peritoneal dialysis with such a low heart rate and low BP i would recommend you to take him to a multispeciality hospital as he is in a need of ICU care. He require a HOLISTIC approach of treatment and cardiac medications need to be started back with dose titrations. ICU care is recommended for him according to the condition described by you. Good Luck