Signs of Congestive Heart Failure (CHF)

Introduction

Congestive Heart Failure (CHF) is a chronic condition in which the heart is unable to pump blood efficiently to meet the body's needs. This leads to fluid buildup in the lungs and other parts of the body, causing a range of symptoms.

Common Signs and Symptoms

1. Shortness of Breath (Dyspnea)

  • Occurs during physical activity or even at rest in severe cases
  • May worsen when lying flat (orthopnea)
  • Waking up gasping for air at night (paroxysmal nocturnal dyspnea)

2. Fatigue and Weakness

  • Reduced oxygen supply to muscles
  • Difficulty performing daily activities

3. Swelling (Edema)

  • Fluid retention in legs, ankles, feet, and sometimes the abdomen (ascites)
  • Weight gain from fluid buildup

4. Persistent Cough or Wheezing

  • Due to fluid accumulation in the lungs
  • A cough may produce frothy, blood-tinged mucus

5. Increased Heart Rate (Tachycardia) & Irregular Heartbeat

  • The heart tries to compensate for reduced pumping efficiency
  • Palpitations (feeling of skipped or rapid heartbeats)

6. Frequent Urination at Night (Nocturia)

  • Due to fluid redistribution when lying down

7. Sudden Weight Gain

  • Increased body fluid retention
  • One of the early warning signs of worsening CHF

When to See a Doctor

If you notice persistent swelling, breathlessness, or unexplained fatigue, it is crucial to seek medical evaluation. Early diagnosis and treatment can significantly improve outcomes.

Conclusion

CHF is a serious but manageable condition. Recognizing the early signs and seeking timely medical intervention can help improve quality of life and reduce complications.

Source recommendations

1. American College of Cardiology/American Heart Association (ACC/AHA) Guidelines for the Management of Heart Failure

  1. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001063
  2. https://www.jacc.org/doi/10.1016/j.jacc.2023.12.024
  3. https://www.acc.org/Guidelines
  4. https://professional.heart.org/en/science-news/-/media/832EA0F4E73948848612F228F7FA2D35.ashx
  5. https://www.acc.org/education-and-meetings/products-and-resources/features/global-cv-institute/heart-failure-guidelines

2. European Society of Cardiology (ESC) Guidelines on Heart Failure

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Acute-and-Chronic-Heart-Failure
  2. https://academic.oup.com/eurheartj/article/42/36/3599/6358045
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Focused-Update-on-Heart-Failure-Guidelines
  4. https://academic.oup.com/eurheartj/article/44/37/3627/7246292
  5. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines

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