Conversation: The conversation between human and AI assistant.
[|Human|] My husband was told he is in 3rd stage congestive heart failure 3 years ago now the new stress shows bottom of the heart has damage and is not working,he already has lost the back of the heart from a previous heart attack.He now has the water retention again and the leg cramps he had before the last heart attack.How much more can we expect? He already hsa a pacemaker/difublator in plaec can I trust that to save him?
[|AI|]  Hisorry to hear about your husband prognosis of every patient is different, golden rule of medical science is that there is no rules remain hopeful the role of the defibrillator is to shock the heart when rhythm of heart is disturbed but as CHF is in stage 3, It's not always possible for the defibrillator to revert the rhythm back if ejection fraction of his heart is less than 20%, prognosis is poor water retention should immediately be treated by diuretics, muscle cramp is because of the electrolyte disbalance (serum electrolytes should be monitored every alternate day