<prompt> Answer this question truthfullyWhat are some recommended treatment options for individuals with congestive heart failure CHF and an ejection fraction EF of less than 35?  <response>: <reason> For individuals with CHF and an ejection fraction EF of less than 35, recommended treatment options may include adding an automated implantable cardioverter defibrillator AICD or a biventricular pacemaker. An AICD is a device that is implanted under the skin and can monitor heart rhythm and deliver an electrical shock if needed to restore normal heart rhythm. A biventricular pacemaker is a device that helps coordinate the contractions of the hearts ventricles, which can improve the hearts pumping function and reduce symptoms of CHF. The specific treatment approach recommended may depend on a variety of factors, including the individuals overall health and medical history. It is important to consult with a healthcare professional for proper diagnosis and management of CHF and related conditions. 