Thank you for sharing. I understand how scary it can be! When you say that you doctor said that you have mild elevation, was this in the echo report or face to face in a meeting? I would recommend that, before you go too far down the internet rabbit hole, schedule an appointment with your doctor and get your questions ready. Things like, what does this mean, what is the long term prognosis? Can this be improved, etc? Sometimes things are scary because we don't understand, so get more information before total panic sets in. Also, keep up the hard work! Losing weight and staying compliant with meds is not easy. Do you know if your blood pressure meds are managing your BP the way the doctors wants? How much sodium are you eating? These are also questions you can ask your medical team. Take care! Morgan (heart-failure.net Moderator)