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Doctor insights on: Heart Failure

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Dr. Joseph Shen
3,283 doctors shared insights

Heart Failure (Overview)

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 laying flat or exercising.


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What are the symptoms of heart failure?

What are the symptoms of heart failure?

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

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Dr. Joseph Shen
3,283 doctors shared insights

Heart Failure (Overview)

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 laying flat or exercising.


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What are treatments for heart failure?

What are treatments for heart failure?

Salt, liquid control: Then diuresis i.e. Water pills by mouth or IV then some medicines may help like ace inhibitors or arbs or IV drips like dobutamine, melrinone, or Nesiritide in severe cases. In severe selected cases, heart transplant may be an option. Note, if no fluid overload happens, using salt & fluid restriction, the overwhelming majority of these patients will stay away from hospital and it's complications. ...Read more

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Living with Congestive Heart Failure (Tip)

Living with Congestive Heart Failure

Educate yourself and your family. Successful heart failure therapy hinges on knowledge. ...See more

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Living with Congestive Heart Failure (Checklist)

Weigh yourself daily. Alert doctor to any increases.
Daily
Take medications as prescribed
Once
Tell the doctor if your legs swell or you get short of breath
Once
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What are some of the complications of congestive heart failure?

What are some of the complications of congestive heart failure?

Quite varied: The immediate effect is back-up of pressure into the lungs, causing congestion there. Due to the poor forward flow out of the heart, the kidneys often are affected, and the need for diuretic medications to clear up the lungs can worsen kidney function even more. Liver disease, even cirrhosis, can occur if back-up extends all the way through the right side of the heart. ...Read more

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Managing Mild Kidney Failure (Checklist)

Make certain your blood pressure is at the low prescribed target
once
Make certain your cholesterol has been monitored and treated
once
Make certain your blood sugars are well managed
once
Minimize weight gain and lose weight if you are overweight.
once
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How does heart failure affect the kidneys relating to anatomy and physiology?

How does heart failure affect the kidneys relating to anatomy and physiology?

HF and kidney: In advanced heart failure the blood flow to the kidneys decrease and then this will lead to less blood perfusion and kidneys get affected. ...Read more

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