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Doctor insights on: Itchy Ankle Heart Failure

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After 2nd round r-chop, swollen ankles, rapid hr. Are these signs of heart failure? Why doesn't cardiologist order echocardiogram?

After 2nd round r-chop, swollen ankles, rapid hr.  Are these signs of heart failure? Why doesn't cardiologist order echocardiogram?

Valid Question.: Swollen ankles and rapid heart rate might be signs of heart failure. They merit a careful history and physical exam as well as ekg, chest x-rays and an echocardiogram. Hypertension and valve problems are high on the list of likely causes; however, in the case of a person exposed to a cardiotoxic chemotherapy drug, one must consider this as well. The toxic drug effect is cumulative; act quickly. ...Read more

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Dr. Joseph Shen
3,283 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


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I had mi 3years ago , on holliday and got sunburnt lower legs and ankles ankles have swollen mostly my right , is this from sunburn or heart failure?

I had mi  3years ago , on holliday and  got sunburnt lower legs and ankles  ankles have swollen mostly my right , is this from sunburn or heart failure?

Good question : Swelling can be caused by a severe sunburn, but more likely this is due to heart related issues. I would make an appointment with my cardiologist. ...Read more

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My knees,legs,ankles, and feet are swollen they say its heart failure?

My knees,legs,ankles, and feet are swollen they say its heart failure?

Heart failure is one: cause of lower extremity swelling. Though there are many causes - too many to list here. I do see you are on ibuprofen - this could also be a cause. I would stop the ibuprofen for a few days and see if it improves. In the meantime elevate your legs and consider compression stockings. See your doctor if your symptoms persist. ...Read more

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Why does heart failure lead to edema in the ankles?

Why does heart failure lead to edema in the ankles?

Heart and kidneys: In the patient with congestive heart failure, the body senses that the heart is not working correctly. It sends a message the kidneys to hold onto salt and water that the patient eats and drinks. This excess salt and water builds up and becomes apparent in the legs, belly, and lungs. ...Read more

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How could a right sided heart failure lead to swelling of the ankles but left sided would not?

How could a right sided heart failure lead to swelling of the ankles but left sided would not?

The right side of : Heart receives blood from the body so if it is not functioning properly it won't be able to receive well and hence there will be a back flow and this usually ends up in the lower extremity as gravity will then rule. The left side of the heart allows the blood to flow to the rest of the body so if its not functioning it won't make it out or pump it. (Rather simplistic explanation, but hope you get ...Read more

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What are symptoms of congestive heart failure if you had it would you be able to walk 3 miles in an hour in a mall.Level .No incline no ankle swellin?

What are symptoms of congestive heart failure if you had it would you be able to walk 3 miles in an hour in a mall.Level .No incline  no ankle swellin?

CHF: Congestive heart failure patients often have shortness of breath/coughs, swollen legs, need more pillows at night and may notice heart palpitations. Your doctor can run tests to determine if you have this condition. In the early stages, you might be able to exert yourself more, but as time goes on, it becomes more difficult to do simple tasks like walking around a mall. ...Read more

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Why does right-sided heart failure causes swollen feet and ankles?

Why does right-sided heart failure causes swollen feet and ankles?

Pump failure: The right side of your heart accepts blood returning from the extremities. If it can't keep up, blood starts to back up in the extremities and causes swelling. Think of a basement pump. If its not powerful enough to keep up with the water seeping in, the basement will flood. ...Read more

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Could ankle swelling that gets very painful during exercise be a sign of congestive heart failure?

Could ankle swelling that gets very painful during exercise be a sign of congestive heart failure?

Yes: Swelling in ankles can many things. Heartfailure is just one. Gout, arthritis , venous insufficiency, hypothyroidism , are just a few others you need a full exam with detailed history along with labs, cxr, ekg and possibly an echo of the heart. ...Read more

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