Hello, Brief answer: Symptoms and signs of heart failure need more accurate data out of your electrocardiogram. Explanation: My opinion is that you have symptoms and signs of heart failure mainly right side and that leads to generalized body edema or fluid collection also causes heart palpitations you experience. Well also you have too many risk factors that need to be corrected and followed up. High cholesterol leads to ischemic heart disease and atherosclerosis. High uncontrolled blood pressure also aggravates heart failure and that is a big concern. I suggest my patients the following prescribe some anti-failure drugs as diuretics LASIX orally also beta blockers as Metoprolol to improve your heart rate and control blood pressure process. Statins for hypercholesterolemia. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about age, also specific details of their echo. Conclusion: I suggest you check your condition with a cardiologist as soon as possible. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mahmmad Gamal