So sorry things aren’t progressing as they’d hoped.
As said above, they will always give you the possible outcomes first because then if things don’t improve they haven’t misled you, iyswim.
On the plus (if you can call it that) side, a HB of 130, while absolutely still too high is something which is tolerable until they can bring it down. For context, when I was shocked my heart rate went up to 225, and my internal defibrillator registers a spike if my rate goes over 170.
From experience it’s not so much the increased heart rate as the fast AF which causes the most concern, because the heart isn’t beating in a normal rhythm.
Also on the plus side, he’s not on filtration, not ventilated, and is still conscious.
Obviously I can only speak from my own experiences from a cardiology point of view, and I’m by no means an expert, but knowledge is power.
Arm yourself with any questions you want to know, and any facts you can hold on to.
I.e. is he being given drugs to counter the AF? Is filtration an option, and if not yet, then why not? Is he on diuretics to reduce some of the fluid retention?
Don’t be afraid to ask questions, the more you ask, the more they can tell you. And the more you sound as if you know what you’re talking about, the more honest they are likely to be.