I was diagnosed with HFpEF this year at Mayo. I also have AFib, hypoxia (low blood oxygen), and chronic kidney disease. All new diagnosis since 2020, possibly related to Covid.

I am getting better with these personal goals.

Diet - Healthy low carb diet with intermittent fasting. Lose 10 pounds. Extra body fat increases stress on the heart. I also take extra vitamins.

Dr. Barry Borlaug’s presentation on HFpEF was very helpful.

Exercise - Improve strength, endurance, and functional status. I see a local physical therapist and she incorporates balance training, diaphragm breathing, strength, and tips for aerobic activities. I pair my exercises to my daily routine and break them into small segments throughout the day. Medicare covers my visits for osteopenia, balance issues, and ankle pain.

Dr. Mark Haykowsky explains the importance of exercise in HFpEF.

Sleep - Get the right amount of sleep. I need a nap every afternoon. I am up early doing exercises and daily tasks, then a nap by 1 pm. Aerobic exercise for 1 hour at a lower heart rate.

The results are encouraging. I have reduced my dependence on oxygen and I hope to be off oxygen in the near future. I am stronger and I have greater endurance for activities I enjoy. My AFib episodes have decreased and so have my meds. I monitor my blood pressure, heart, ecg, and blood oxygen level. All my numbers are better with consistent focus on making small lifestyle changes.

I can’t take all the meds that have been suggested for me, like beta blockers, I have low blood pressure and sometimes my heart rate gets too low and I pass out. Talk to your doctor if the meds are making you feel worse. Keep home records.

I hope everyone can find the support they need to feel better and still enjoy life with heart failure.