Conversation: The conversation between human and AI assistant.
[|Human|] I m 37 years old. 3 years ago I had my mital and aortic valve replaced with mechanical valves. 16 years ago I recieved a ICD. I take metoporol and coumadin. I just had an echo that was normal. I have low blood pressure and a slow heart beat, 60 s. My cardiologist says that is normal for me. I ve been having hard heart beats that keep me up at night and sometime annoy me at work. I work out when I can 3-4 times a week. I mostly do cardio and a small amount of lifting. I have Hypertrophic cardiomyopathy so my workouts aren t what I wish they were. Recently when playing softball I m easily winded. More than usual. I told my cardiologist and he wasn t too concerned. He said he didn t want to go looking for a problem. Any advice?
[|AI|]  Hello, After going through your query I understand your concern and would like to tell you that hypertrophic cardiomyopathy can be there from your teenage which is why you have received ICD. Heart failure is common in HOC which can be the reason of your breathlessness.  It's recommended for you to start with diuretics and consult a cardiologist personally for proper treatment. Hope I have answered your query. Let me know if I can assist you further.