Anyone else with HFrEF (Heart Failure with reduced Ejection Fraction) have trouble keeping BP up, but lower extremity edema down?
I am in this constant battle of trying to get my systolic over 100mmhg. On 80mg furosemide, middle dose entresto (sorry can't remember what the numbers are but it's the middle out of 3) twice daily, 25mg spirolactone, 5mg ivabradine 3xday. After raising my dosages of entresto and ivabradine a couple months ago my bp tanked again. Now I average 90mmhg sometimes dropping in the 80s. At which point I assume I have lost too much fluids so I drink water all day, but then I will wake up to extra edema in my feet legs and pelvic region. To get the edema to an acceptable level (and not gain 2 lbs overnight) I have to restrict my water intake pretty tight, but then I get bp drops and near syncope every time I stand or sit up, plus episodes of vertigo (spinning sensations). If anyone has had this or a similar problem balancing fluid and bp I could use any tips. Cardio says I'm doing all the right things to try and balance it, but I'm wondering if others have mastered the art better than myself lol?