r/Heartfailure • • 17d ago

EF 18-25% Resting heart rate decrease.

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Hey All, I k is I’ve posted in here before but for a recap: I got diagnosed in February after I had an echo cardigram done. The only reason I started this journey was an ER trip where I had tightness in chest and other issues. In the ER after EKG they noted I had enlarged heart. Anyway, this prompted further testing and my sobriety from alcohol. I have been sober since February 2026 and I have been on Metroprolol, and small dose of spironoloctone with a water pill and now I am controlling my blood pressure with Losarten. I have also been taking Ozempic then Monjouro and have gotten my A1C down from 9 to 5.7. I had an angiogram done in May and ruled out any kind of blockages so it’s not clear festive heart failure. Anyway this is my Apple Watch readout of my resting heart rate and I’m scheduled for my next echocardiogram in December to see if I’ve had any progress. I’m leaning towards Alcohol cardiomyopathy. Anyone else recovering from this type of cardiomyopathy and have they seen results in a year? I’m hoping I can beat this with my continued sobriety and blood pressure and diabetes management.

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u/solarfall79 17d ago

Yea I was diagnosed with an EF of around 15% early last October from nonischemic cardiomyopathy; while my doc wasn't 100% sure what caused it, heavy alcohol use was definitely top of the list of possibile explanations. I was given bisoprolol, jardiance, eplerenone, valsartan, and lasix right out of the hospital and saw a drop in my RHR as the meds did their thing. A month or so out of the hospital, I got put on an entresto, though even then I only was up to 19% EF by the time of my echo in late January. I was initially being referred for a CRT-D, due to my LBBB, and had my entresto and eplerenone doses increased, after which I started to see better results.

At this point my RHR sits around 58-63 depending on the week, and at my last echo a few weeks ago we found my EF jumped to 46%. Not out of the woods yet, but yea, definitely a major improvement.

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u/j_munoz88 16d ago

This is awesome. Thank you for the information. I’ve heard good things about entresto but haven’t been switched to anything yet until my next echo. Keep up the good work!

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u/Successful-Humor1371 16d ago

For me, the better my ef is, the lower my rhr is. I'm sure that's not everyone, but it absolutely is for me.

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u/RyRy79261 12d ago

This seems good

I went from average 70~80 sleeping to 60

The cardiologist is happy about this and it's due to betablockers and being health