Hello, I am new to the Mayo Clinic Connect -I was born with MVP and didn't have any major problems until I had Robotic Mitral Valve Repair in 2017, which was due to bileaflet prolapse and severe regurgitation. My EF was at 32 in January the following year. I had an MRI that showed no signs of having a heart attack. I went through cardiac rehab from January through April and was feeling stronger. I did however have Tachycardia that started around January 2018, which I started taking Corlanor 2.5 mg twice a day. I had to decrease to once a day due to presyncopal symptions. I took this for a year and continued excercising. In May of 2018 my EF was 55%, which stayed at that % until an Echo that I had in April 2019. My EF is now 40% and showing signs of mitral regurgitation which there was none post surgery. I also was diagnosed with hyperlipidemia with an LDL of 198 and started Crestor. I have nonischemic cardiomyopathy and grade 1 diastolic dysfunction. I started taking Ramipril 2.5 mg once a day and Carvedilol 3.125 mg twice a day. I started seeing a new Cardiologist in May and he wanted to check for blockages by doing a Cardiac Cath. I have no blockages. He had me stop taking the Corlanor. I am currently feeeling more tired and my heart rate is increasing during non strenuous activities like walking up a flight or two of stairs. My problem is since I had my surgery my BP has been low. I am now getting readings of 88/68 more frequently. I am concerned about taking higher doses of my medications because my BP is already low, but I am having more symptions and tire more easily. Does anyone know of any medications that will help my heart to recover that does not have an effect on blood pressure. I will have another ECHO done in November. Thank You