is generic cialis available Shortness of breath Fatigue Reduced ability to exercise Treatment methods above for Stage A apply All patients should take an angiotensin converting enzyme inhibitor ACE inhibitors and beta blockers African American patients may be prescribed a hydralazine nitrate combination if symptoms persist Diuretics water pills and digoxin may be prescribed if symptoms persist An aldosterone inhibitor may be prescribed when symptoms remain severe with other therapies Restrict dietary sodium salt Monitor weight Restrict fluids as appropriate Drugs that worsen the condition should be discontinued As appropriate, cardiac resynchronization therapy biventricular pacemaker may be recommended An implantable cardiac defibrillator ICD may be recommended