My mom is 73 years old with several years of high blood pressure, cardiac disease, A-fib and now congestive heart failure. Following a heart attack about 10 days ago, she was expected to have an angiogram and likely some sort of procedure to address a blockage. Unfortunately, her kidneys are not functioning very well. Her creatinine has finally gone down from 2.6 to 2.2, but her creatinine clearance is 21. Therefore, the doctors are not willing to risk injecting her with the dye. However, her latest Echo indicates her heart function is only at around 30%. She has a temporary pacemaker due to periods of tachycardia and long Q intervals (my apologies If I'm stating this incorrectly) and is supposed to have a permanent pacemaker put it at some point. She is in the cardiac intensive care unit for 7 days after being in the regular ICU for 5 days prior. We had our first conversation with a palliative care team on Friday. We are unsure of what, if any type of next steps to expect. She is not a candidate for dialysis, is severely de-conditioned. Do you have any suggestions on treatments or opinion on whether or not she'll ever leave the hospital? Thank you