Heart failure also known as congestive heart failure is a life-threatening condition which results in low cardiac output and congestive symptoms due to abnormality of heart function.
It occurs when the heart muscles do not pump blood as it should, that may cause blood and fluids build up in the lungs, causing shortness of breath etc.
POSSIBLE SYMPTOMS
Symptoms may develop slowly or very suddenly. During a heart failure, a heart can’t supply enough blood to meet your body’s needs.
- Laboured or rapid breathing while resting, upon little exertion or while lying down
- Oedema fluid accumulation in the feet
- Swelling of the legs, trunk and genitalia due to retention of fluid
- Fatigue and weakness.
- Very rapid weight gain from fluid buildup.
- Cold clammy skin
- Neck veins that stick out,
- Increase heart rate
- Sudden dizziness
- Chest pain
- Weakness, fatigue
- Scanty, frequent urination specially at night
- Headache
- Sleeplessness
- Restlessness
- Sluggish mental state
- Cough
- Lack of appetite
- Nausea & Vomiting
- Fullness after meals
- Pain in the right upper part of the abdomen situated below the ribs
- Stools are pale, offensive, greasy and difficult to wash off
- Palpitations
- Rapid or irregular heartbeat.
- Reduced ability to exercise.
- Wheezing.
- A cough that doesn’t go away or a cough that brings up white or pink mucus with spots of blood.
- Difficulty concentrating or decreased alertness.
- Chest pain if heart failure is caused by a heart attack.
Heart failure develops due to a number of chronic secondary CAUSES
- Weakened, damaged or stiff heart – the heart can’t pump out the needed amount of blood.
- Coronary artery disease: A buildup of plaque in the arteries that supply blood to the heart. This can be caused by atheroma, high cholesterol and blood pressure, poor diet, smoking, and obesity.
- Cardiomyopathy or myocarditis – inflammation of the heart muscle.
- Arrythmia – heart rhythm problems: can include atrial fibrillation.
- Damage to the heart valves can lead to heart failure.
- Congenital or by birth defects that affect the heart’s normal function.
- Other health conditions: Such as diabetes, obesity, sleep apnea, chronic kidney disease, anemia, and thyroid disease.
- Radiation and chemotherapy can also damage the heart.
- Myocardial infarction (heart attack)
- Cardiac depressant drugs
- Increased cardiac load
- Valvular heart disease
- Right ventricular infarction (death of a part of the right chamber of the heart)
- Isolated right ventricular cardiomyopathy
- Primary or secondary pulmonary hypertension
- The heart muscle can be damaged by certain infections, heavy alcohol use, illegal drug use.
- Genetic – genes also can play a role.
Causes of sudden or acute heart failure also include:
- Allergic reactions.
- Any illness that affects the whole body.
- Blood clots in the lungs.
- Severe infections.
- Use of certain medicines.
- Viruses that attack the heart muscle.
DO’S AND DONT’S
Some of the same lifestyle changes manage or prevent heart failure. Try these heart-healthy tips:
- Lifestyle changes can improve quality of life. Try to lose weight, exercise, use less salt.
- Don’t smoke.
- Eat healthy foods.
- Reduce and manage stress.
- Take your prescribed medicines regularly as directed.
- Change positions from time to time as erect position causes swelling of the feet, ankles and lower limbs, and recumbent (lying down) position causes a swelling in the sacral region (lower back)
- Physical and mental rest is very essential
- Fluid intake has to be taken according to medical guidance
- Intake of excessive alcohol should be avoided
- Control of B.P should be maintained
- Sedation for adequate sleep is necessary at times
- Massage of arms and legs to maintain peripheral circulation
- Gentle passive or active exercises can be done during the recovery phase
CALL THE DOCTOR
Hospitalization is necessary for monitoring ECG, giving oxygen and other necessary immediate treatment
Avoid self-diagnosing and call for emergency medical help if you have any of the following:
- Chest pain.
- Fainting or severe weakness.
- Rapid or irregular heartbeat with shortness of breath, chest pain or fainting.
- Sudden, severe shortness of breath and coughing up white or pink, foamy mucus.
- Your symptoms suddenly become worse.
- You develop a new symptom.
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