Heart failure, also known as congestive heart failure (CHF), is a condition or a
collection of symptoms in which the heart isn't pumping enough blood to meet the
body's needs. Heart failure can develop suddenly, but it usually develops slowly
after an injury to the heart. Some injuries may include a heart attack, too much
strain on the heart due to years of untreated high blood pressure, or a diseased
heart valve. Coronary artery disease, heart attack, diabetes, family history of
heart disease, and cardiomyopathy are other risk factors for CHF. Sometimes Heart
failure can affect only the right or left side of the heart; however, it more often
affects both sides equally.
There are two types of CHF. When your heart cannot pump the blood out of your heart
very well it is considered systolic heart failure. When your heart muscles are stiff
and do not fill up with blood easily it is called diastolic heart failure. Both
types mean there is not enough oxygen rich blood getting to your body, especially
when you are active. As the heart's pumping action is lost, blood may back up in
other areas of the body. Fluid collects up in the lungs, liver, gastrointestinal
tract, and the arms and legs.
Heart failure symptoms aren’t always obvious, and some patients show no symptoms at
all. Some common symptoms include shortness of breath, impaired memory, confusion,
swelling of the feet and legs, lack of energy, increased urination at night, swollen
abdomen, and difficulty sleeping due to shortness of breath.
Diagnosing CHF may require a cardiologist to do several diagnostic tests, depending
on the patient, including echocardiogram, electrocardiogram, blood tests, chest
x-ray, exercise test, or coronary angiography.
If you have heart failure, your doctor will monitor you closely. Knowing your body
and the symptoms that your heart failure is getting worse will help you stay
healthier and out of the hospital. At home, watch for changes in your heart rate,
pulse, blood pressure, and weight. Weight gain, especially over a day or two, can be
a sign that your body is holding onto extra fluid and your heart failure is getting
worse. Talk to your doctor about what you should do if your weight goes up or if you
develop more symptoms. Limit how much salt you eat. Your doctor may also ask you to
limit how much fluid you drink during the day. Some methods of prevention are to
stop smoking, stop drinking alcohol, reduce salt intake, and exercise.