The most important thing is blood pressure control. Having elevated systemic blood pressure causes hypertrophy (thickening) of the heart muscle, which impairs relaxation and causes it to be more stiff. As a result, when blood flows from the left atrium (upper chamber) to the left ventricle (lower chamber), it sees higher pressure that is transmitted to the pulmonary veins. So, make sure your blood pressure is well controlled (less than 130/80), Also, maintaining a good fluid balance is important, so decrease salt intake, restrict fluid intake to 2 liters per day, and you may even need a diuretic to help keep fluid off (some meds double as blood pressure meds and fluid pills).
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