I have diastolic dysfunction, HFpEF, pulmonary hypertension(mild), CAD(mild), plus two regurgitating valves that appear to be stable. I presented with fatigue and dyspnea. I was already on Metoprolol for palpitations but I had an ablation which helped the palpitations but didn't eradicate them. I also have PVC's which the ablation didn't seem to help.
In January, I started getting blood pressure spikes and was switched from Metoprolol to Carvedilol, which is supposed to help HFpEF. I had a terrible time with it. I was on it for 2 months and couldn't stand it anymore. My cardiologist switched me to Jardiance. Even though I feel better than I did, I'm still feeling fatigued and weak after 6 weeks on Jardiance. I don't really know if it is working. I've been struggling to control my blood pressure since January and tried different meds, most of which I had reactions to. I am currently on Losartan, which I don't think is very effective, and spironolactone, which may or may not be working since I can rarely get a blood pressure reading. It's all very exasperating. Now my eGFR is slowly declining, and my glucose is slowly rising. I thought the Jardiance was supposed to control blood sugar. I don't have diabetes, at least not yet, but my doctor says I am stable. I feel like crap. Sometimes I wonder if they know much more than we do.