diastolic dysfunction effects and treatmetn

Posted by ohallk @ohallk, Jun 27 3:29pm

I sometimes feel like I can hardly move after a 45 minute walk, even though I've been a runner/walker all my life. Also - many mornings, it is so much work to expand my diaphragm just to get a good breath. This lasts for 1 - 3 hours. Sometimes I will use an Albuterol inhaler though I blow my usual normal 325-350 on my peak flow meter (occasional, mild asthma). I am being treated w/Jardiance (10 mg) for heart and also do a Repatha injection once every 14 days. Mu sister, former dialysis nurse, says it's my heart that is causing the exhaustion after exercise - that I'm simply not getting enough blood flowing and that's causing the exhaustion. The exhaustion is not sleepiness - it's an "I can't move exhaustion."
Is my sister's dx spot on? Is the left ventricle simply not sending enough blood over to the right chamber and thus to all my muscles? Same w/ many mornings? I'm quite certain it's not asthma. Looking for info from others. Do you experience this? Is using an inhaler bad when it's not asthma? (I know - I should ask my doc about this - and I will when I see her in a couple weeks but wanted to know what others experience 1st. -

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@asolidrock
I have grade 2 diastolic dysfunction which caused HFpEF and pulmonary hypertension. I was prescribed Jardience but it has only been about 10 days so too soon to expect change. The DD causes cardiac remodeling of the ventricle ( can be left or right) which means the ventricle becomes thicker and stiff making it hard for the ventricle to fill with blood and pump to the rest of the body. This can cause shortness of breath and fatigue and the feeling like your muscles aren't getting enough blood or oxygen.

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Thanks so much for your response

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