Doctor insights on:
Congenitive Heart Failure
Heart failure: In a healthy heart, during each heartbeat a set amount of blood enters the heart and is pumped out again. In heart failure, your heart cannot cope with pumping the full amount of blood in each heartbeat. Systolic heart failure- the ventricles of the heart do not contract properly during each heartbeat so blood is not adequately pumped out of the heart. Diastolic heart failure. This occurs when the ventricle does not fill up with blood enough ...Read more
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
Fluid overload: Congestive heart failure is a state where the body holds onto salt and water that you eat and drink which fails to come out in the urine. This is typically the result of a heart that is not working properly. For a variety of reasons, the heart sends a signal to the kidneys to hold on to salt and water resulting in shortness of breath and swelling of the extremities. ...Read more
Physical exam: Fluid accumulates during congestive heart failure. When the right side of the heart fails, fluid accumulates in the legs and abdomen. When the left side of the heart fails, fluid accumulates in the lungs and makes the patient short of breath. Not infrequently, both sides of the heart fail at the same time. ...Read more
See below: Because the heart is weakened, it cannot pump the blood forward normally. This produces symptoms such as fatigue. Also the pressure rises within the heart resulting in a build up of fluid in the lungs and eventually involving the right side of the heart so that there is leg swelling. The body responds to the low output by releasing certain hormones which worsen the swelling. It is complex. ...Read more
Shortness of breath: Shortness of breth with activity then at rest. Patients wake up from their sleep with breathing difficulty. To be able to sleep better they keep their head elevated with multiple pillows. They get short of breath when they lay flat. Edema in the legs and fluid retention is another findings. Patients may get tired and have dry cough. ...Read more
Drugs and HF: There are several drugs used to treat specific types of cancer that are associated with the development of heart failure. The most common are doxorubicin, cyclophosphamide, and trastuzamab. This doesn't mean that they should not be used but that their use should be carefully monitored. Alcohol, cocaine, and amphetamines can also cause heart failure. ...Read more
Below are the more common symptoms but usually starts with breathlessness on exertion and decreased exercise tolerance;
Feeling breathless on exertion and when lying flat.
waking up in the night breathless.
decreased exercise tolerance.
confusion in elderly.
nausea or abdominal pain. ...Read more
Depends: Congestive heart failure or CHF can be from many things. Different types include systolic dysfxn wich means a weak heart. Usually from a virus, heart attack, or post partum. Diastolic dysfxn where the heart is stiff is usually due to hyer tension. High out put heart failure is when things such as hyperthyroidism or anemia. So your question is very broad and you need to narrow it down ...Read more
Right or Left:
Generally, left heart failure causes you to be short of breath (breathlessness). This is generally worse when you exert yourself (for example, walking up hill) or when you are lying flat in bed. This shortness of breath can be associated with a cough.
The main symptom of right heart failure is swollen ankles and legs (buildup of fluid) Your liver may also become enlarged. ...Read more
Increasing swelling: This should raise your suspicion especially if associated with shortness of breath and easy fatigueability that is getting worse. The swelling is usually in the legs and is worst at bedtime and least in am on rising from bed. It is unusual to have CHF without leg edema in the evenings, unless you are taking water pills. ...Read more
Most patients with heart failure can live a long life nowadays. It depends on how severe it is. Factors that determine how long you live are:1. How severe it is 2. What is the underlying cause 3. How good is your treatment 4. How compliant you are with the treatment 5. What other illnesses you have 6. How old you are
so find a good doctor and do what he advises and you should be around a while. ...Read more
Yes: Depending on the extent of the heart failure and how you feel. If you are able to do most day-to-day jobs and provided your work is not overly exerting then you should be able to recover much of your function. It also depends on the cause of the heart failure, and the type. Take the right medications (beta blockers, ace-inhibitors, aldactone) and talk to your cardiologist. ...Read more
Several symptoms: The most common symptoms are fatigue, decreased exercise tolerance, shortness of breath with exertion, shortness of breath at night, need to use more pillows to sleep, swelling in the abdomen or legs, weight gain due to fluid buildup. If you experience any of these symptoms, see a cardiologist right away. ...Read more
Reverse/Optimize CHF: Drivers: (a) lipoproteins (get LDL <700 nmol/L, possibly <400, & Large-HDL >9? mol/L) (Chol wrong issue, LDL-C not measured from blood & poor correlation), (b) blood glucose HbA1c <5.0%, (c) resting sitting Systolic BP <120 mmHg, & titrate up Aceon (perindopril) (if BP Hi), AltAce (if BP Low) + Carvedilol as far as tolerated (too much; too fast can make feel worse, short-term) & track response with Echo, etc. ...Read more
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