Conversation: The conversation between human and AI assistant.
[|Human|] My dad has 20% usage of his heart and went from 45% to 20% usage in less than 6 months...treated with iv Lasix in hospital and within 24 hours all the fluid is back and even more....he is 77 has pace maker and defibrillator ...now chronic kidney disease...he is blown up and we know this is terminal..my question with as quick as he blowing up and retaining fluid how long does he have left...what happens next we need to look for
[|AI|]  Hi, Thanks for writing in. It is important to know how much is the functioning of his kidneys. The function of various organs is inter linked, and the heart has and effect on the performance of the kidneys and the kidneys have a role on the heart function. Since ejection fraction of heart is 20 percent therefore there is severe compromise in heart function. With this the blood reaching the kidney is also less, and therefore the kidney might not be in a position to filter out the toxic products entirely. Knowing the serum creatinine and GFR might help to predict the expected progress of disease. He is on pacemaker and defibrillator and therefore any abnormal cardiac conditions are taken care of and corrected automatically. In this way it is possible to sustain for another 6 to 12 months with recommended care and support. Please do not worry.