@hougoss
I see the mentor has already reached out to you with great feedback and information.

I have heart failure caused by cardiomyopathy. I see a heart failure specialist. In fact my HF doctor is the Director of heart failure and transplant division at Mayo Jacksonville.

A lot of cardiologist are experienced and knowledgeable on cardiomyopathy and hopefully you have one. If not seek out a heart failure specialist and like mentor mentioned second opinions if any doubt at all.

You did not mention your ejection fraction. Is us normal (50-70)? Mine went down to 25-30 until put on entresto and carviidol and has remain same since then. I was seeing a regular cardiologist at my home town for my cardiomyopathy. I wanted a second opinion and that is when I went to Mayo Clinic and saw HF doctor and electrophysiologist. My HF doctor changed my medications immediately.

Now some inspiration here. I was diagnosed with cardiomyopathy and heart failure in 2001. It is now 2025. I do sprint triathlons and exercise 6 days a week. When I went to Mayo for second opinion and then decided to stay with them I got excellent medical care. My EF had remained the same for 10 years now. When I do stress test at Mayo they come back low risk of cardio risk.

So stay positive. There are great medication and lifestyle changes to treat this, stay positive.