Dorothy Bloom was hospitalized for a myocardial infarction seven months ago and was transferred to the hospital for placement of cardiac stents. Dorothy was brought to the ER per ambulance at 0300 this morning with complaints of dyspnea and chest heaviness. Her diagnosis is systolic LVF and RVF. Her EF was found to be 35%. Chest x-ray revealed cardiomegaly and ruled out pneumonia.