Thanks so much for your insight. I don’t have any ventricular issues or any valve issues. The electrophysiologist wanted me to go on farxiga as a further preventative but I do not have kidney disease nor am I diabetic and I am borderline normal ejection fraction and the side effects from that drug are not good and once on them, they are difficult to come off of without complications. It did not seem like the potential benefits would outweigh the risks especially since I feel well and do not have issues like shortness of breathe or difficulty exercising. I guess we never know exactly how the heart will progress but since the Lisinopril is a new drug for me I think it is reasonable to wait to see how things are with it before adding other medications that are for patients with kidney disease, diabetics and heart failure.