My mother is 55 years old. She had been diagnosed with hypertension, Rheumatic heart disease, severe mitral regurgitation, atrial fibrillation, LV dysfunction (EF 30%) with Normal CAG. She had suffered an incidence of heart failure last month and was diagnosed as AF with fast ventricular rate and reverted to NSR by DC shock.
She has undergone Mitral Valve Replacement (Mechanical Valve) through Key Hole Surgery 10 days back. Her ECHO at discharge read :
"PHV seen in Mitral Position, Mean PG 9mm Hg at HR 135/minute. Other sever valves are normal. LV is normal in size. Global LV Hypokinesia. LVEF 30%. LA is dilated. Mild to moderate TR (PASP 40mmHg). No PE"
Her medications currently include: Acitrom 2mg, Cordarone 200, Betaloc 25mg, Pansec 40mg, Lasix 20mg, Lasiclatone 20mg and Heam-up.
She has consistent cough since her surgery and is hypersensitive to even cooking fumes which triggers her cough very badly. Since we stay in Delhi, air quality outside home is pretty bad owing to pollution, we are avoiding walks outside home.
I am specifically concerned for her recovery (what could be the timeframe and do's/don'ts?) and treatment/ lifestyle to be followed for Global LV Hypokinesia, LVEF 30% and dilated LA. Please suggest....