I have a bacterial infection and difficuly breathing and sleeping because of productive cough. Chest x-ray says there is vacular congestion centrally. also prominant hilar vascular strusture which may be on the basis of venous congestion . I have had diastolic heart failure in the past, and an av node ablation as well as a pulmonary vein ablation, and am pacemaker dependant. I have a lot of trouble breathing in the night an a.m. and have not been able to sleep. I was treated with an antibiotic and prednizone shot, and was told to go to the hospital for admission if this happens again tonight, after these medications. What should I do. This was an urgent care center i went to