Its regarding my aunt. She had a pacemaker implantation(Single Chamber, MRI compaitable) after sudden pulse rate falls on November,2018. Then on March'19, again she had a severe pneumonia infection, ventilated and successfully recovered. After that she gradually develops a feeling of breathlessness while crossing staircase. Recently we are observing her bloated belly with yellow urine. Her USG study suggests,  1. a small hepatic cyst & 2. post void residual urine is significant(49 CC) and her Ecocardiography suggests 1. Mild mitral regurgitation 2. Mild tricuspid regurgitation 3. Mild PAH 4. Left Ventricular diastolic dysfunction grade II 5. Normal LV systolic function 6. Borderline concentric left ventricular hypertrophy. Currently on Foracort Inhaler(2 pufs twice daily), Stamlo 5, Dytor 10...please help us for actual diagnosis, is it related with cardio or pulmonary disfunction and what about Swallow belly. Thanks.