Dear Mumtaz, welcome and thanks for entrusting your query here at HCM!
I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.
For the age of 75 years, old heart attacks, consequent echo evidence of heart failure
and poor pumping are expected.
But it is complicated by kidney failure (higher creatinine, infection needing DJ stenting, and peptic ulcer
The situation leads to a vicious cycle of deterioration, as ulcer does not allow aspirin and like blood thinners to be given.
Kidney and heart failure accentuate each other. Infection and low hemoglobin
adds to the insult.
He is critically balanced and needs careful planning of safe therapy as far as possible.
He would need a team of a cardiologist, urologist
and a physician to manage.
Life expectancy is limited.
I hope you are fully satisfied with the guidance I gave.
I would be glad to answer any further queries.
Thank you and Good luck!