@mikeydc2008
Sorry to hear that. I had high blood pressure like yours not very high like 140/90. Back then it was not treated. In today's world it would have been. I think over the decade of not treating it caused my heart failure (heart got bigger due to BP).

Do you have access to a major medical institution? Like a Mayo, Cleveland Clinic, John Hopkins. If so I would try to get a second opinion as you need to be treated as an individual and specific medications and care specficically to your condition and symptoms. Those institutions do that. I go to Mayo since 2006.

There is many things that can be done both physically and medication to help you with your HF. I was told by one cardiologist his experience with HF was 1/3 get worse, 1/3 stay the same, one third get better. It is the 1/3 group you want to be in so you need as advanced and tailored plan for you.

What group am I in. I am in the 1/3 who stay the same. My EF is in the low 20s but been that way for over a decade.

When you were having your symptoms were you having any swelling of feet and legs? I real sign of HF not getting enough water out. There are medications for this.

Did they recommend exercising? If not asked why. I cannot no longer jog but I do water aerobics 5 days a week. And walk in the water in addition to that . It takes (water) your weight off but you can still get aerobic exercise to to the level your cardiologist feel is best for you. Ask about it