This is not an emergency unless: • Breathlessness at rest • Oxygen saturation < 92% • Swelling increasing rapidly • Chest pain Otherwise: Immediate Steps: ✔ Review with cardiologist urgently (not routine — but within days) ✔ Optimize heart failure medications: • ACE inhibitor / ARNI • Beta blocker • MRA (spironolactone) • SGLT2 inhibitor • Diuretics (very important here) ✔ Check: • Serum creatinine • Potassium • NT-proBNP (if available) • Repeat chest X-ray if worsening Fluid restriction may be required.

Until review: ✔ Monitor: • Daily weight • Urine output • Swelling • Breathlessness grading ✔ Reduce salt intake strictly ✔ Avoid excess fluid ✔ Elevate head while sleeping ✔ Avoid heavy bathing exertion Breathlessness after sleep happens because: • Fluid redistributes into lungs in supine position If breathlessness worsens suddenly, go to ER. ⸻ Important This is manageable but requires structured heart failure protocol treatment. If you share: • Current medications • BP readings • Oxygen saturation I can guide more specifically. Given his age and current findings, a proper cardiology-guided optimization can significantly improve symptoms and quality of life — do not delay consultation.

Please consult a cardiologist soon for medication adjustment and further care.