Confused about Stiff Heart, Diastolic Heart Failure, or HFpEF?

Nearly half of all patients with heart failure have a normal EF or ejection fraction. EF is a percentage of how much blood the left ventricle pumps out with each contraction. Why is that?

To get some answers, and with Valentine’s Day just around the corner (what better way to celebrate than by learning about your heart), we sat down with Mayo Clinic cardiologist and heart failure specialist, Dr. Farris Timimi. In this video, Dr. Timimi explains the phenomenon of heart failure with preserved ejection fraction or HFpEF.

Do you have heart failure with preserved ejection fraction (sometimes called Stiff Heart or Diastolic Heart Failure)? What limitations have you experienced with a HFpEF diagnosis? What has helped you?

@hopeful33250

@tcokeefe .
Your cardiologist is the best person to ask about the best treatment and/or therapy for diastolic dysfunction. Often an ACE Inhibitor med can be helpful but of course your doctor should make that decision. Do you currently have symptoms?
What treatments has your doctor recommended?

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I am on valsartan. And the doctor has encouraged me to continue walking at least five times a week. I am also now on a statin to get my cholesterol down. I do not believe that is related to the diastolic heart failure. From everything various Cardiologist have told me, there are currently no treatments that can improve it or reverse it, but that the best thing you can do is to control your blood pressure and stay active

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@tcokeefe

I am on valsartan. And the doctor has encouraged me to continue walking at least five times a week. I am also now on a statin to get my cholesterol down. I do not believe that is related to the diastolic heart failure. From everything various Cardiologist have told me, there are currently no treatments that can improve it or reverse it, but that the best thing you can do is to control your blood pressure and stay active

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I have also been diagnosed with diastolic dysfunction, @tcokeefe. I'm wondering if you have any heart valve problems of if DD is your only heart-related diagnosis?

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I do, although I am afraid I don’t know it’s name but I remember they said that it’s very minor and not an issue

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@hopeful33250

I have also been diagnosed with diastolic dysfunction, @tcokeefe. I'm wondering if you have any heart valve problems of if DD is your only heart-related diagnosis?

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No value problems. They say it happened do too high b.p and pulse. My test last oct showed heart was good it went from 65% to 40%in 8 months. The Cardiologist P.A. that i was seeing should of caught this!!

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@tcokeefe

It seems from what I have read that with diastolic dysfunction or early stage heart failure, there is basically nothing that can be done to improve it but that regular exercise like walking can help slow its progression. Is that correct?

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Yes that is what i was told, no cure. Keep you b.p low and watch ur pulse

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@colleenyoung

Hi @susikelley, you'll notice that I moved your message to this existing discussion about stiff heart. Click VIEW & REPLY to see all posts of the discussion, including from Dr. Timimi, a cardiologist at Mayo Clinic. In this discussion you can also connect with members @harmonybentley @robschweiger @muriel66 @tcokeefe and others.

Susi, are you still in hospital? What rehab or lifestyle changes have been suggested for you?

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No im no longer in the hospital. I just have good days and bad days, on bad ones i have no energy ,appetite, just want to sleep

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