instruction: hi doctor my husband was just diagnosed with congestive heart failure with 25 ejection fraction they also found an artery 100 blocked but his own body made another vein and they discovered it is viable so no bypass surgery is needed they also discovered his mitral valve is stiffened and not working he has some kidney damage also we are going to have a scope done and I guess that will determine how to fix the mitral valve will they do another test to determine the cause he has told them he used some steroids during his bodybuilding days and he drinks occasionally but he drinks every night and has used mild steroids up until this happened they are going to do a test that would determine how it was caused could it be due to a virus or abuse I am just trying to be educated before we go to the next visit my husband is not always honest with the doctors
output: hi thanks for the query madam good to know you are worried about your husband yes alcohol and steroids do cause harm to the heart make sure your husband never uses these suicidal drugs again as now he has an ejection fraction of only 25 coming to the mitral valve it depends upon how much it has narrowed if severe narrow then options are either surgery to change the valve or percutaneous mitral balloon valvotomy pmbv in which the mitral valve is widened by inflating balloon in the valve if not severely narrowed then only medicines of heart failure are sufficient for your husband comply with the doctor advice and medicines have vaccination against influenza done yearly and also pneumonia five yearly if ef is 25 and not improving then have a device installed in the heart called ice implantable cardioverter defibrillator to save from sudden cardiac arrest