<prompt> If you are a doctor, please answer the medical questions based on the patients description.Good evening, I am contemplating going to the er. I have numbness in my left arm and fingertips. it feels like my arm and fingers are sleep. The right side of my face is swollen and bruised. I am short of breath and my heart feels like it is going to come through my chest. I also have a dark tongue and it burns so I have no taste to food? Not sure what is going on?  <response>: Hi welcome to Chat Doctor. I understand your query and concern. Congestive heart failure has poor prognosis in all cases if the ejection fraction is under 30. The overall prognosis in your sons case is marginal since Duchess muscular dystrophy leads to respiratory complications affecting the cardiac output.Its always advisable to keep the blood pressure under 13080 mm of Hg. Avoid overt treatment to prevent lightheadedness, for this I advise you to have a baseline 2 dimensional echocardiography, ECG,HS CRP and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6gmday. Chat Doctor. Reduce the intake of fatty and fried food. Oatmeal for breakfast 30-50 gm taken in milk daily will clear the accumulated fat. Avoid smoking and alcohol. Semiannual follow-ups are advisable on maintenance. Once the above measures are carried out, good survival can be expected. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you. 