LVDD (Left Ventricle Diastolic Dysfunction) - Diuretic/ARB

[Seena2019]

I am from India aged 51 yrs. I got my CABG done for single artery (LAD) 6 months back. Post surgery I developed breathlessness and could not walk out for two months. Though i consulted many doctors only one doctor gave me diuretic Torasemide 5mg and that helped me to walk as my breathlessness improved by 30-40%. Still Life has been very miserable due to breathlessness. Even though my EF increased from 46% to 64% in last 6 months, there is nothing to cheer about as LVDD is a permanent damage and it has lead to Heart Failure. This is termed as HF with preserved EF. I am on Clopidogrel, statin, and Ivabradin. Doctor prescribed Entresto but could not take even for 3 days as I developed breathing difficulties. I have to convince my doctor to give me an alternative to Entresto , some ARB would do. As I am on Diuretic ( Torasemide) my BP is low 110/70 and above this it is challenge for a doctor to prescribe ARB as BP might go further down. Any one facing such a challenge ?

[jeanjeannie50]

You may find you get more replies by putting your post on the British Heart Foundation forum.

This is the link:

healthunlocked.com/bhf

Jean

[Ppiman]

A welcome from the sunny UK! I'm not able to help, but I thought I would write to sympathise and to say what bad luck you've had, and that I know life can be very difficult with heart problems. If you're in a hot region of India, life would be doubly hard, I should think. As Jean suggested. people on this part of the forum are less likely to be able to help as on other sections, so maybe post your question in the other forums, also?

Steve

[Johnnycyborg]

Hi Seena, I also have HF but with reduced EF, my blood pressure is also on the lower side, I have ARB as I couldn’t tolerate ACE inhibitors, my ARB is Candesartan, it does take my blood pressure further down but for me the benefits outweigh the negatives, maybe a lowish dose might be helpful, 8mg twice a day may work for you. Good luck

[Seena2019 in reply to Johnnycyborg]

Hi Johnny thanks a lot for your response.