Hi, My sister aged 27 years has been suffering from high bp since a year. She has been advised to take carloc 3.125 in the morning. She is suffering from orthostatic hypotension as well. Recently we found out that she has cervical stenosis and bulge in disc as per mri. Her 2d echo dated Sept 2023 showed she has mild concentric lvh with diastolic dysfunction, ejection fraction 65%. Her 2d echo July 2024 showed ejection fraction 60%. Her tmt report is negative for MI. But she has been facing weird symptoms like shortness of breath, chest pain left side arm pain. Also, there is slight swelling in her feet which gets reduces after she exercises her feet. Her chest discomfort and shortness of breath increases when she climbs stairs. One day, she climbes 6 floors, after that her tolerance to exercise has some what reduced. She gets tired often and she sleeps a lot. Kindly help my sister. Are these symptoms indicator of heart failure or is it due to spine issue? Cardiologist said normal.