Heart failure management depends largely on the cause of heart failure. If congestive heart failure is due to systolic dysfunction due to either coronary artery disease, primary cardiomyopathy or valvular heart disease the treatment mostly consisting of medical therapy and in the case of coronary artery disease or valvular diseaes of intervention or surgery. If the congestive heart failure is caused by disease in the lungs such as asbestosis, or other forms of pulmonary hypertension then the treatment options are very limited but mostly consists of medical therapy. Prognosis with congestive heart failure is dependent on the cause of the disease process. Pulmnary HTN due to asbestosis has a poor overal prognosis. I would recommend seeing a heart failure specialist, a special cardiologist who may help. There are also devies that in certain cases of systolic dysfuction may help with heart falure symptoms.
The treatment for congestive heart failure is usually determined by the cause. If the heart failure is caused by a disease, which is the case with your family member, then the disease is treated. His physician is the best person to decide the course of treatment and he’ll do so based on factors such as his age, health, medical history, the extent of his disease, and his tolerance to certain procedures and medications. His expectations and personal opinion will or should also be given importance while deciding on the treatment for heart failure.