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Heart Failure

Also known as: Congestive heart failure Specialty: Cardiology

Overview

Heart failure is a condition where your heart is not able to pump blood as effectively as it should. If you have it, it is important to take it seriously, as it can affect how well oxygen and nutrients are delivered throughout your body.

This does not mean your heart has stopped working. Instead, it means it is under strain and not keeping up with your body’s needs. Over time, this can lead to a build-up of fluid in the lungs, legs, or abdomen, making everyday activities more difficult.

You may notice symptoms gradually, or they may become more noticeable over time. Without proper care, heart failure can worsen. With early diagnosis, regular monitoring, and the right treatment, it can be managed effectively, helping you maintain your quality of life.

Symptoms

Symptoms can develop slowly and may become more noticeable as the condition progresses. You may experience:

  • Shortness of breath, especially during activity or when lying down
  • Fatigue or feeling unusually tired
  • Swelling in your legs, ankles, or feet
  • Rapid or irregular heartbeat
  • Persistent cough or wheezing
  • Reduced ability to exercise or carry out daily activities

These symptoms can vary in severity and may come and go, so it is important to monitor any changes.

Causes & Risk Factors

Heart failure often develops as a result of other conditions that place strain on the heart over time. Common causes and risk factors include:

  • High blood pressure
  • Coronary artery disease
  • Previous heart attack
  • Diabetes
  • Heart valve disease
  • Obesity or physical inactivity
  • Long-term alcohol use
  • Certain infections affecting the heart

These conditions can weaken or stiffen the heart, making it harder for it to pump blood effectively.

When to Seek Care

You should seek medical advice if you:

  • Experience shortness of breath during routine activities
  • Notice swelling in your legs, ankles, or feet
  • Feel unusually tired or weak
  • Have a persistent cough or wheezing
  • Have a history of heart disease or related conditions

Emergency Symptoms

Prevention

While heart failure cannot always be prevented, you can reduce your risk by managing the conditions that lead to it:

  • Keep your blood pressure under control
  • Manage cholesterol and blood sugar levels
  • Stay physically active
  • Maintain a healthy weight
  • Avoid smoking and limit alcohol intake
  • Attend regular medical check-ups

Diagnostics Used

To diagnose heart failure, your care team will assess your symptoms and evaluate how well your heart is functioning. You may have:

Support Services

Managing heart failure involves ongoing care and support. You can benefit from:

  • Regular follow-up with cardiology specialists
  • Medication management and monitoring
  • Nutrition and fluid management guidance
  • Lifestyle and activity planning
  • Support for managing related conditions such as hypertension or diabetes

This approach helps you manage symptoms and maintain stability over time.

FAQs

What does heart failure mean?
It means your heart is not pumping blood as effectively as it should, which can affect how your body functions.
Is heart failure the same as a heart attack?
No. A heart attack is a sudden blockage of blood flow to the heart, while heart failure is a long-term condition where the heart’s pumping ability is reduced.
Can heart failure be treated?
Yes. While it may not be cured, treatment can help control symptoms, improve quality of life, and slow progression.
Can I live with heart failure?
Yes. With proper treatment, lifestyle adjustments, and regular follow-up, you can manage the condition and continue daily activities.
What makes heart failure worse?
Uncontrolled blood pressure, poor diet, missed medication, and untreated underlying conditions can cause symptoms to worsen.
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