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.

Angioplasty is not automatically required. It's only needed if tests show significant coronary artery blockage causing symptoms or worsening heart failure. In asthma plus heart failure, doctors usually decide based on angiography, echo, symptoms, and stress tests. A cardiologist's evaluation is essential before considering angioplasty.

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.