Top
30
Doctor insights on: Can A Doctor Diagnose Congestive Heart Failure With His Stethescope Alone

Share
Dr. Joseph Shen
3,317 Doctors shared insights

Heart Failure (Definition)

Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more


2

2
Congestive heart failure I was diagnosed with CHF and a 80 percent block of the right coronary artery my ejection fraction is up to 55-60 from 25-30 I still get tired and short of breath not getting answers from my doctor could that be from the block any

Congestive heart failure I was diagnosed with CHF and a 80 percent block of the right coronary artery my ejection fraction is up to 55-60 from 25-30 I still get tired and short of breath not getting answers from my doctor could that be from the block any

That: That is great news that your ejection fraction (ef) has improved that much, as that is directly correlated with your overall long term prognosis. You clearly are still symptomatic though. If you find that your shortness of breath continues, it is certainly possible that the stenosis in your right coronary artery is the culprit, although without knowing more information it is hard to say definitively. My best advice to you is to find a physician that will answer your questions and communicate with you so that you may understand your care. Heart disease is complex and involves the interplay of many factors, and an excellent relationship with your cardiologist can be the most important one. ...Read more

3

3
Can a dr tell tell using a stethoscope if someone has congestive heart failure?

Can a dr tell tell using a stethoscope if someone has congestive heart failure?

Lungs and heart: Lungs will have characteristics sound call crackles and sometimes if severe wheezing - fluids in the lungs. The heart will have a galloping sound call s3 gallop and possibly a murmur. Jugular vein distention at the neck and ankle pitting edema. ...Read more

4

4
Why don't men want to go to doctors? My husband has congestive heart failure, and I feel I have to drag him in to be seen. What will happen to him without treatment?

Why don't men want to go to doctors? My husband has congestive heart failure, and I feel I have to drag him in to be seen. What will happen to him without treatment?

Fear: Without treatment of significant congestive heart failure you can expect worsening disability and hastening death. As to your question as to why men don't want to go to the doctor it is usually fear of having to deal with the unknown. Reassure him, tell him that you are with him all the way and perhaps he will listen. ...Read more

5

5
Do doctors see a lot of patients with congestive heart failure?

Do doctors see a lot of patients with congestive heart failure?

Yes: Sadly, congestive heart failure, which is a complex syndrome that occurs for a variety of reasons & causes symptoms of fluid retention in the lungs and legs, breathlessness, and fatigue remains a common and frequently encountered problem seen in virtually all fields of medicine. It is usually treated by family docs, internists, and cardiologists. ...Read more

6

6
Congestive heart failure - what is the life expected with this? I do follow my doctors orders. However, I read articles about this and people seem to die very young do you agree with this?

Congestive heart failure - what is the life expected with this? I do follow my doctors orders. However, I read articles about this and people seem to die very young do you agree with this?

True ButVeryVariable: Your primary decision maker with most vested interest is you! Study anatomy + physiology ; work to understand best options, commonly not promoted/discussed by others with other priorities who do not live with your outcomes. Optimize NMR particle test, hba1c, bp, acei/arb + Coreg (carvedilol) (carefully adjusted by user) ; echo you read ; understand have best tract record. CHF success rates have greatly? Ed. ...Read more

7

7
Do I have congestive heart failure, or allergies? I am a 36 year old female who has been in good health until 3 year ago. Then almost over night I get asmatic broncidus and neumona. I was sick for 3 months and during this the doctor said I had congestive

Cardiologist: I hope you have been evaluated by a cardiologist. You are a little young for heart failure without any risk factors. I have seen patients in my asthma clinic being treated for asthma with everything from heart failure to lupus. ...Read more

8

8
I have congestive heart failure with an ejection fraction of 20% and 8 weeks pregnant is it a possibility that I can go through this pregnancy and be ok?

I have congestive heart failure with an ejection fraction of 20% and 8 weeks pregnant is it a possibility that I can go through this pregnancy and be ok?

CHF pregnancy: Pregnancy very risky. If heart failure has been stable there is a chance of success but since it's not safe for baby for mom to take the proper meds the heart can get worse. ...Read more

9

9
I have congestive heart failure with a 30% ejection fraction, hypertrophic cardiomyopathy, and left bundle branch block is it safe for me to fly?

I have congestive heart failure with a 30% ejection fraction, hypertrophic cardiomyopathy, and left bundle branch block is it safe for me to fly?

Depends: It depends on your overall health. Do you have an icd, are you on daily oxygen, daily medications, can you sit for exended lengths of time, how long is the flight? Commercial airlines have cabin pressures set to about 7000ft. So if you can tolerate that altitude (denver is about 5600ft), air travel may be ok. Discuss with your doctor. Tsa will need to know if you have an icd. ...Read more

10

10
Congestive heart failure - appeared to have died my dad died in front of me, my mom and boyfriend nov. 6th, 2011. We lost him of congestive heart failure with no warning. He was coughing, throwing up and then got dizzy and sat down. He fell off of what he

Congestive heart failure - appeared to have died my dad died in front of me, my mom and boyfriend nov. 6th, 2011. We lost him of congestive heart failure with no warning. He was coughing, throwing up and then got dizzy and sat down. He fell off of what he

Heart attack: What you described is acute pulmonary edema and cardiogenic shock. This is caused by a massive acute heart attack where the heart suddenly stop pumping, fluid rapidly accumulates in the lungs and blood pressure falls as cardiac output drops. This is the most dreaded complication of a heart attack and unfortunately it is frequently fatal. ...Read more

11

11
Congestive heart failure - head dis-coloration my dad died in front of me, my mom and boyfriend nov. 6th, 2011. We lost him of congestive heart failure with no warning. He was coughing, throwing up and then got dizzy and sat down. He fell off of what he w

Congestive heart failure - head dis-coloration my dad died in front of me, my mom and boyfriend nov. 6th, 2011. We lost him of congestive heart failure with no warning. He was coughing, throwing up and then got dizzy and sat down. He fell off of what he w

During: During CPR it is not unusual to increase pressure at particular areas of the body, and small blood vessels on the surface of the skin, or scalp, can easily burst, creating noticeable spots on the skin surface. This also applies to the area around his eyes. So to answer the question, he did not likely bleed internally in this scenario, but rather had some small veins burst on the surface of his face and around his eye that led to what you saw. ...Read more

13

13
Congestive heart failure - stomach bloating my dad died in front of me, my mom and boyfriend nov. 6th, 2011. We lost him of congestive heart failure with no warning. He was coughing, throwing up and then got dizzy and sat down. He fell off of what he was

Congestive heart failure - stomach bloating my dad died in front of me, my mom and boyfriend nov. 6th, 2011. We lost him of congestive heart failure with no warning. He was coughing, throwing up and then got dizzy and sat down. He fell off of what he was

During: During CPR you are breathing for the person and the normal mechanism that prevents air from entering your stomach and makes it go down to your lungs is no longer active. Therefore the stomach gets bloated as a result of air that is being forced into his airway -some of that air goes into the lungs but some gets into the stomach. It doesn't take much for the stomach to get bloated during CPR as the activity of the entire gastrointestinal tract (including the stomach) stops, and so things begin to back up fairly quickly. I doubt that it was blood from his airway causing all of this, although it could have contributed a bit. ...Read more

14

14
What cough medicine is best for patients that have CHF congestive heart failure?

What cough medicine is best for patients that have CHF congestive heart failure?

No perfect answer: Probably best to avoid combination medicines which contain pseudoephedrine, which many do. This speeds up your heart. Diphenhydramine (benedryl) can dry up secretions. However, it is important to understand that the cough may be due to the chf. Also medications commonly used to treat CHF (ace inhibitors - often end with. Pril) can sometimes cause a chronic dry cough. Talk to your md. ...Read more

15

15
Is it recommended for people who suffer from congestive heart failure to take special precautions with their dental care?

Is it recommended for people who suffer from congestive heart failure to take special precautions with their dental care?

CHF: Congestive heart failure patients usually have structural abnormalities of the heart muscle and can have rhythm abnormalities so yes. Dental care both in the office and at home is important. A the dentist some office procedures and drugs could be problematic. Poor dental hygiene at home could result in infections which could cause valve problems. So dental care is important. ...Read more

16

16
My husband has COPD and congestive heart failure. He is 86 and very weak. Docs said this is bad. What is there to help him?

My husband has COPD and congestive heart failure. He is 86 and very weak. Docs said this is bad. What is there to help him?

Consultants: He should be evaluated by both a cadiologist and a pulmonolgist, preferably in a hospital setting. ...Read more

17

17
If you have congestive heart failure.......Would that be seen in an echocardiogram at rest? If not, what tests or such can detect then.

If you have congestive heart failure.......Would that be seen in an echocardiogram at rest? If not, what tests or such can detect then.

Congestive aheart fa: The diagnosis of congestive heart failure is mstly clinical with edema, shortness of breath, engorged neck veins, liver enlargement and rales in lungs on auscultation. Xray chest, bnp test on blood elevated is done some times and resting echocardiogram is helpful in defining the ejection fraction and other imaging.So resting echo will be helpful along with all others. ...Read more

18

18
Can a child have congestive heart failure and then have a heart attack?

Can a child have congestive heart failure and then have a heart attack?

CHF: If you mean MI with heart attack it is a rare combination but if you mean sudden arrhythmias leading to sudden death with congestive heart failure, it is more common then MI. ...Read more

19

19
Need help. Is 22 too young to have heart disease/congestive heart failure?

Need help. Is 22 too young to have heart disease/congestive heart failure?

It can happen: Unfortunately, sometimes young people also get affected by heart failure. Most often it relates to a viral infection that infects the heart muscle, called "myocarditis". This can lead to substantial heart failure in young patients, and is treated similarly to older patients with hf. However, sometimes the disease can get so bad that heart transplant needs to be considered. ...Read more

20

20
Would an EKG show congestive heart failure?

Would an EKG show congestive heart failure?

It can: Low voltage in an EKG suggest cardiomyopathy. Which goes by the hand with Heart Failure.
- In addition Electrical Alternans in the EKG is also suggestive of heart failure ...Read more

21

21
Can an EKG detect congestive heart failure?

It can give clues: Heart failure is a complicated diagnosis to make and is usually based on history and physical exam findings. An ekg may give clues that point towards a diagnosis of heart failure but can not fully diagnose it. You may be confusing the term heart failure with heart disease. Ask you doctor about further specifics. ...Read more

24

24
What risks are associated with getting pregnant with moderate congestive heart failure?

High: Then normal physiologic changes that occur during pregnancy to prepare you for the delivery of your baby can worse your CHF symptoms and you and your baby could be at risk. Consult your OB for specifics. ...Read more

25

25
Can it be that a family history of heart disease put me at risk of congestive heart failure at age 18?

Probably not: My advise to you is that during your early age you decrease all controllable risk factors possible. Keep healthy weight, do not smoke, control chol, bp, exercise, do not drink, control stress. ...Read more

26

26
I have congestive heart failure and the diuretic I take is no longer working. What other options are the to avoid water rent emotion?

I have congestive heart failure and the diuretic I take is no longer working. What other options are the to avoid water rent emotion?

Change diuretic?: You should ask your physician, if you are on hydrochlorthiazide (h) if you should go to a loop diuretic, forsemide (f). Patients with chronic kidney disease do not respond to h but do respond to f. If that does not work, ask to have an echocardiogram to see if you have pulmonary artery hypertension (p) and what your ejection fraction is. If you have p, there is medicine for that to lessen edema. ...Read more

27

27
What causes my to smell dirt all the time? . I have had a heart attack and congestive heart failure. Just wanted to know if it was related or not.

What causes my to smell dirt all the time? . I have had a heart attack and congestive heart failure. Just wanted to know if it was related or not.

Coincidental: May be the side effect of some medications.
Hope you are doing better with your heart conditions. Please take medicines, regular exercise as prescribed by Cardiologist, restrict salt to prevent excerbation of CHF, Maintain weight as close to ideal body weight and control the cholesterol ...Read more

28

28
My 33 yr old son had a heart attack 10-15. He now has dx of chronic combined systolic and diastolic congestive heart failure. Ef of 40. How serious?

My 33 yr old son had a heart attack 10-15. He now has dx of chronic combined systolic and diastolic congestive heart failure. Ef of 40. How serious?

Heart failure: Heart failure caused by a prior myocardial infarction (heart attack) is a very serious problem. Fortunately there are well-defined treatments including medications and procedures. Patients with this condition should be under the care of a cardiologist. It may also help to get a second opinion here on HealthTap to review treatment options. ...Read more

30

30
Which disease is more manageable, coronary heart disease or congestive heart failure?

Which disease is more manageable, coronary heart disease or congestive heart failure?

Serious and manageab: Congestive heart failure is often one of the compications of CAD. Both are serious conditions that can be managed with proper medications, diet, exercise and always addressing the root cause of the problem. ...Read more

Stethoscope (Definition)

This device invented by laennec enables a physician to hear the focused sounds made within the body. The bell, diaphragm, and earpieces have changed much in history bt the principles are the same. It's still an amazing instrument. Now that the head mirror has become hard to find, the stethoscope is perhaps the most iconic ...Read more


Dr. Bennett Werner
762 Doctors shared insights

Congestive Heart Failure (Definition)

Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more