Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on - Ask a Doctor - sevice!

I understand your concern, and would like to explain that heart failure is a clinical syndrome; meaning that we are generally guided by the patient's clinical signs and symptoms (shortness of breathing, limbs edema and pulmonary congestion, presence of arrhythmia, etc.) to decide on therapeutic alternatives.

As any certain cardiomyopathy may be responsible for heart failure occurrence, we almost always need to treat this underlying condition (hypertension, valvular disorder, arrhythmia, diabetes, other potential comorbidities).

Now returning to your specific clinical scenario, I would suggest that any vasodilators like an ACEI (ramipril, perindopril, etc.) or ARB (irbesartan, candssartan, olmesartan, etc.) a beta-blocker (carvedilol, metoprolol, etc.), an antiplatelet agent like aspirin or anticoagulant like a NOAC, etc. could be potentially described alternatives.

Nevertheless, it is important to investigate the entire clinical conditions in order to give a more precise medical opinion.

Any cardiac test report, like echo, ECG , etc. would be helpful.

Please upliad them for a careful review.

Hooe to have been helpful to you!

Kind regards,

Dr. Iliri

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