Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
It could be heart failure but would be very unusual at your age.
have you had any tests?
I don't think so.
The XRAY and blood tests should capture heart failure
Make sure you had a BNP blood test.
If this is normal, you don't have heart failure.
It could be anxiety
let me know if you have other questions.
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Then the asthma is probably not treated fully
You probably need a combined inhaler like advair