If the patient has heart failure with breathing issues, chest discomfort, or unclear cause of symptoms, angiography may be needed to check for blocked heart vessels. It helps guide treatment but is only advised if the doctor suspects coronary artery disease. A cardiologist's evaluation is essential before deciding.

The BNP test measures B-type Natriuretic Peptide, a hormone released when the heart is under stress. A value of 133 pg/mL is mildly elevated, which may suggest early heart strain or mild heart failure, especially if you have breathlessness or swelling. Follow up with a cardiologist for further evaluation.

Facial swelling with high BP may be due to fluid retention, kidney issues, or a reaction to medications. Monitor your BP closely and seek urgent evaluation if swelling worsens or you develop breathlessness.

Early-morning heart failure symptoms like breathlessness, chest heaviness, or fatigue often occur due to fluid shifting and worsening nighttime congestion. This may indicate uncontrolled heart failure and needs urgent cardiac evaluation.

With an EF of 35 percent, medicines and lifestyle changes can help improve heart function, but most patients need lifelong treatment. A pacemaker/ICD may be needed if advised. Ayurvedic remedies alone cannot treat heart failure but may be used only as supportive care with a cardiologist's approval. Around 1.5-2 L water/day is usually okay, but fluid limits must be individualized by her doctor.