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He started staying seated at the kitchen table, then...the says he has been really wore out for the last 3-4 weeks. Like his "went" has done got up and went and didn't come back, as he puts it. He normally would eat cereal and then come in the living room and watch tv, and he stopped that and just stayed at the kitchen table because it took more effort to move from kitchen to the living room. He says he just feels wore out all the time. His appetite is still good and everything else is still ok.

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It also occurs to me that you could serve him breakfast in the living room, not so much to "pamper" him, but because then he could just put his feet up on a stool and/or with a pillow propped up under his knees, which is more helpful to older leg veins than being at 90 degree angles for hours.

And then he could watch tv, read, listen to music, etc. in more comfort.
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You have gotten good advice to report this change in symptoms to his doctors.

Another possibility that comes to mind is depression. Obviously we can't diagnose what is going on with him, but it sounds worthy of discussing with his medical care team.

Since he doesn't have the energy to get up from the dining table, can you bring him something to do there? Magazines, crossword or other puzzles, just something to occupy his mind if he feels like it. No pressure to do anything!
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Something is worse. It can be the heart, the thyroid, anemia, PAD (peripheral arterial disease) something autoimmune, some new medication, vague pain somewhere, or any number of serious or trivial, fixable or unfixable things. Worth a call to the doctor. I was once actually given a stress test because of this symptom because it is that common for someone to have a slient MI or early mild congestive failure and just feel tired, no chest pain.
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I'm assuming you have A/C and are using it? You might check the furnace filters to make sure they're clean. Dirty air can make breathing a bit harder and put more stress on the heart.

So can respiratory issues. Does he use oxygen and/or has he been tested to determine if he needs to? It might be that he just needs it at night, given that he seems to be tired in the morning. It's surprising how low an oxygen saturation rate can drop overnight. My father's was in the 90's during the day but dropped to 72 at night. I was so shocked - it was hard to believe it could drop that much.

I would have your husband checked out by a pulmonologist. Even if his SAT rate is acceptable during the day, the pulmonoligst can order an overnight study. It's noninvasive and monitors his SAT rate all night long.

Another factor could be what he's eating for supper and for breakfast. Unless he's eating natural cereals, the processed ones generally have a lot of sugar, resulting in fatigue after the sugar spike is over. Add some sausages or even a sandwich or some kind of protein along with his cereal and see if that makes a difference.

Also make sure he has some protein in his dinner. Beans are a good source for quick energy. If he feels more energetic after eating something like baked beans, bean soup or bean salad, then it might be a nutritional issue.

Another thing to check is his iron level. His doctor can order blood work to determine if he's anemic. That could easily cause fatigue.

Hope you find something to help and if you do, please let us know.
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Here's what I can think of in addition to what everyone else has mentioned.

Report this to the doctor even if you don't think it's serious....yet. An ounce of precaution so to speak.

Make sure he's getting enough water in his day. Dehydration can knock you down hard.

Monitor his blood pressure AM & PM. Keep a log for the doctor to review.

Eliminate caffeine from his diet in the afternoon until bedtime.

Have a bedtime routine that fosters sleepiness. Low lights, soft sounds, maybe a bath if it would be relaxing.
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Pam is so right regarding the summer weather. I can just imagine the heat in Texas. Today here in Virginia I have the windows opened and a nice cooler breeze is coming in.... how wonderful :) I also have a heart condition so I know how tiring the heat can be. Do you keep your home warm? That can be tiring. I know it drains my Dad as Mom keeps the temp inside at 82 degrees.

Fancicoffee7, when was the last time your husband had seen his Cardiologist? Did you husband have any changes in his pills or doses.... or change in manufacturer of the pills? My parents get all their pills through the mail, Rx insurance they use will send whatever manufacturer they are using at the moment. I prefer to have total control over the manufacturer therefore I use the local pharmacies, thus no new side effects springing up.

Does hubby get a full night sleep? If not, that can wear you out very quickly. A cooler room helps one sleep better.
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If I remember right, he has a heart condition, so I would expect his energy levels to be lower over time. As long as he still gets to breakfast, he's doing OK. Summer weather is very hard on heart patients.
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