A 55 year old female garden worker by occupation came with complaints of Generalized oedema since 1 month, sob since 1 month HOPI : Patient was apparently asymptomatic 3 years back went to local hospital for regular check up and diagnosed with DM( type 2) and HTN Infected with covid-19 6 months back One month back patient complained of gradual onset of sob grade 2 (ordinary work), relieved with rest ,orthopnea -ve , paroxysmal nocturnal dyspnoea +ve No c/o chest pain, palpitations,syncopal attacks. H/o loss of consciousness, for around 4 to 5 hours taken to hospital responded to Non invasive ventilation and woke up,and admitted for 5 days diagnosed with Obstructive sleep apnea ,TYPE 2 RESPIRATORY FAILURE with cor pulmonale ,sepsis ,AKI Again presented to our casualty with similar complaints No c/o fever, cold, cough TREATMENT HISTORY T.METFORMIN 500 MG PO/OD T.TELMA 40 MG OD T.DIGOXIN 0.25 MG T.SILDENAFIL 20 MG T.CARDIVAS 3.125 T.DYTOR 10 MG +SPIRONOLACTONE T.FUROSEMIDE +SPIRON