Do you know the symptoms of heart failure? You may not even have
symptoms, or the symptoms may be mild to severe. Symptoms can be
constant or can come and go.
Symptoms of heart failure are:
• Shortness of breath or difficulty breathing with exercise, at
rest or when lying flat in bed. Some people may think shortness
of breath is a lung problem. It is your heart condition that
causes episodes of shortness of breath. You can also wake up
suddenly at night with a disruption of your normal sleep
patterns.
• A dry, hacking cough or wheezing.
• Swollen ankles, legs, abdomen and weight gain.
• A need to urinate while resting at night and/or an increased
need to urinate during the night.
• Fatigue and weakness during exercise or activities.
• Dizziness, confusion, difficulty concentrating or fainting.
• Rapid or irregular heartbeats (palpitations).
• Other symptoms may include a feeling of fullness (bloating) in
your stomach, loss of appetite or nausea.
If you experience heart failure you may have one or all of these
symptoms or you may have no symptoms at all.
Heart failure is the leading cause of hospitalization in people
over age 65. Women tend to develop heart failure with preserve
left ventricular function and with a more normal ejection
fraction than men. In general, women survive longer than men
with heart failure.
In women, heart failure is often related to high blood pressure,
coronary artery disease, valve disease and diabetes. The signs
and symptoms of heart failure are the same among men and women,
although women tend to have more symptoms of exercise difficulty
and shortness of breath than do men. Women also experience ankle
swelling more frequently than men.
Causes of heart failure:
•Coronary artery disease.
•Heart attack.
•Cardiomyopathy
•Heart defects present at birth
•Diabetes Mellitus
•High blood pressure
•Arrhythmia
•Chronic kidney disease
•Obesity
Heart failure also occurs when several diseases or conditions
are present at one time.
Treatment of heart failure:
•Medications
•Managing other problems
•Regular exercise
•Quit smoking
•Discontinue alcohol or illegal drug use
Medical team members of a heart failure patient often include:
•Nurses
•Dietitians
•Pharmacists
•Exercise specialists
•Social workers
Although heart failure patients normally have a full team of
medical care professionals it is still ultimately up to the
patient to properly take medications, make recommended dietary
changes, live a healthy lifestyle, keep follow-up appointments
and be an active member of the health care team.
Prognosis for persons with heart failure:
•With the right care, heart failure does not stop you from doing
the things in life you enjoy. Individual prognosis depends on
how well the heart muscle is functioning, the symptoms
experienced and how well you respond to and follow your
treatment plan.
An advance directive or living will is a valuable document to
have ready if you have a long term illness such as heart
failure. A living will expresses your desires about the use of
medical treatment to prolong your life. The document is prepared
while you are fully competent. If there is ever a time you are
unable to make medical decisions for yourself, the document will
serve as your statements of preferred care.
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