Lisinopril or Spironolactone
Saw my cardiologist today. Getting another echo done in Jan 2021 to check to see if my EF improved after my Jan 28, 2020 CRTD implant. (Echo done in June 2020 showed no improvement - EF was 35%).
He did give me the heads up that if there is no improvement in EF he will discuss the addition of another medication to improve my EF with my electrophysiologist (they both work out of the same office. The 2 possible medications that would be prescribed would be either lisinopril or spironolactone. He told me to do my research to check out the side effects. I currently am taking 12.5 mg of metoprolol to help reduce incidence of v-tach.
Prior to the crtd, I received my pacemaker in February 2010 for idiopathic 3rd degree heart block. In Nov of 2019 it was noted that I had 3 very short episodes of vtach (around 170 bpm lasting 5 seconds or less) and doctor decided I should probably have an echocardiogram and stress test). First echo since 2011 (over 9 years ago). Why he did not have me get an echo every few years will remain a mystery to me because he did not give me a plausible answer.
So my question is if anyone takes either medication, which one do you feel is better tolerated and has the fewest side effects?