I'm 35. In the last year and a half I have gained almost 60lbs. No changes in diet. I quit smoking 8 months ago. Blood pressure was high, but I was put on lisinopril quite a while ago and it has been managed very well. I am constantly tired and feel run down. I have trouble catching my breath and my chest aches when i exercise. I went to the Er on 2 occasions for chest pains but ekgs were ok. Was sent to a cardio. I had a stress test that he said looked good, and an echocardiogram. He said the echo showed my heart is not pumping properly and my ejection fraction was 44%. He said in his opinion at my age it should be up towards 65. He started me on a beta blocker and told me to limit salt intake (which I have been doing ever since discovering high bp)I have to take the beta blocker for 6 months and then have another echo. Can this be related to my bp even though it's been fine since meds? Could this be why I am always tired and have body aches all the time? Is the EF a big worry? I'm scared and worried.