I have been diagnosed with grade 1 lvdd and mild TR today.. Recurrent complaints of reduced exercise intolerance & shortness of breath on exertion + on lying down .. Doctor told me ur E/a ratio is around 0.85, normal is near 1 so its not that bad.. Untreated hypertension + sinus tachycardia episodes have affected relaxation so take bp med telma beta for 6 months- the diastolic function will improve on its own and be normal by then!! Now I have some doubts- 1) Can grade 1 cause my severe symptoms? 2) Can diastolic function really improve wid bp n rate control? 3) I googled about it n it says its irreversible and will lead to heart failure which has scared me abit