Bessie, I am not sure about this site and want to let you know that first, I am not a nurse. I am just a survivor of peripartum cardiomyopathy. I just want to let you know that I was also 33 years old when I was diagnosed with PPCM and at the time my heart was very enlarged and my ejection fraction was under 20 percent. I am now 39 and my heart size is normal and my ejection fraction is 50%. I tell you this because I truly believe there is hope for you in your situation. I will tell you what helped me besides the medicine: lisinopril and coreg, and that was rest. I slept a lot. I read somewhere that heart problems in women directly correlate to lack of sleep and I completely believe it now. I believe that the more rest you get the better chance your heart has of repairing itself since your body is able to really work on repairing itself during sleep. I know that you have three children and that sleep is probably not easy for you to find, but whatever you do, try to find some time to sleep. I had all odds against me when I was diagnosed and was told that transplant may be the only option. If I could get better, I know that you can. Just keep having faith that you will get better and take the medicines. Avoid stress and sleep as often as you can. Sincerely, Amanda