@jefftalley Has your caridolgist or EP suggested Entresto?

I am taking cervididol and Entresto. I was taking a different medication when Entresto came out which was specifically designed for heart failure. When I first started it boy did it cause fatigue. I was told to hang in there and sure enough in about 2 weeks my energy and stamina came back.

The Entresto does reduce your heart beat and BP. I had a pacemaker when started taking it but was set for 40 for bottom rate. This drug brought my heart rate down to that and pacemaker would kick in and I could feel it. So pace clinic kept raising my pacing to the level I felt comfortable with.

My BP was around 140/90 and went down to 90/60. Since I was not getting dizzy we left. Some weight gain and now is around 100 over high 60s. I have huge amounts of PVCs so we found pacing at 70 bpm was good for reducing pvcs and energy level. My problem is PVCs in LV that medication does not seem to help. Ablation is not something my EP wants to do until medications are tried. I just feel getting in rut now with so many medications.