Signs of Heart Failure

Introduction

Heart failure is a chronic condition in which the heart is unable to pump blood effectively to meet the body's needs. It can develop due to various reasons, such as coronary artery disease, hypertension, or heart valve disorders.

Common Signs and Symptoms

Heart failure presents with several characteristic signs and symptoms, which can be categorized as follows:

1. Symptoms Due to Fluid Retention

  • Shortness of Breath (Dyspnea) – Difficulty breathing, especially during physical activity or while lying down.
  • Swelling (Edema) – Fluid accumulation in the legs, ankles, or feet.
  • Rapid Weight Gain – Due to fluid retention.
  • Abdominal Swelling (Ascites) – In severe cases, fluid can build up in the abdomen.
  • Frequent Urination at Night (Nocturia) – The body tries to eliminate excess fluid while lying down.

2. Symptoms Due to Reduced Blood Flow

  • Fatigue and Weakness – Reduced oxygen supply to tissues.
  • Dizziness or Lightheadedness – Insufficient blood flow to the brain.
  • Cold Hands and Feet – Poor circulation due to low cardiac output.

3. Symptoms Due to Structural Changes in the Heart

  • Irregular or Rapid Heartbeat (Arrhythmia) – Palpitations or abnormal heart rhythms.
  • Persistent Cough or Wheezing – Caused by fluid buildup in the lungs.
  • Difficulty Exercising – Reduced stamina due to a weak heart.

When to See a Doctor?

If you or a loved one experience persistent shortness of breath, unexplained swelling, extreme fatigue, or irregular heartbeat, seek medical attention immediately. Early diagnosis and treatment can improve outcomes and quality of life.

Conclusion

Heart failure is a serious but manageable condition. Recognizing early symptoms can help in timely intervention, improving both prognosis and daily function.

Source recommendations

1. American College of Cardiology Heart Failure Guidelines

  1. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001063
  2. https://www.acc.org/education-and-meetings/products-and-resources/features/global-cv-institute/heart-failure-guidelines
  3. https://www.jacc.org/doi/10.1016/j.jacc.2023.12.024
  4. https://www.acc.org/Guidelines
  5. https://pubmed.ncbi.nlm.nih.gov/35379503/

2. European Society of Cardiology Heart Failure Guidelines

  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://pubmed.ncbi.nlm.nih.gov/21159794/

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