What to do if heart function reduces after a heart attack?

Hi,

Welcome to icliniq.com.

I can understand your concern.

Based on your history of a heart attack a few years back with an ejection fraction of 20 to 25 percent, your cardiologist has recently updated your medications to include more modern treatments for heart failure. These new medicines, particularly Vyxmada (Sacubitril or Valsartan), Eptus (Eplerenone), and Udapa (Dapagliflozin), are commonly used to improve heart function and reduce the risk of further complications. However, they can sometimes cause side effects, especially during the first few weeks of use. Your recent feelings of weakness and uneasiness may be due to a drop in blood pressure, mild dehydration, or changes in electrolyte levels caused by these medications.

Vymada and Eptus can lower blood pressure, and Udapa causes a mild diuretic effect that can also contribute to fatigue. These effects are not unusual, but they need to be carefully managed, especially in older adults. I strongly recommend you see your cardiologist again soon to discuss how you are feeling. They will adjust the dose or timing of your medications to suit your condition better. Please do not stop any medicine on your own, as each plays an important role in supporting your heart.

Also, if possible, monitor your blood pressure at home if it is consistently low (below 100/60 mm Hg); be sure to inform your doctor. With the right adjustments, these symptoms can often be resolved. You are on important medications for your heart health, and with close follow-up, you can continue to feel stable and well.

I hope this helps, and you share the result after visiting your regular cardiologist, so we can discuss further accordingly. Always feel free to reach out to me at any time. I am always here to help.

I hope this information will help you.

Thanks.