How do I know if my congestive heart failure is getting worse?

Fatigue and Activity Changes
The easiest way to know that heart failure is getting worse is you're able to do less and less. People start pacing themselves. They stop doing hobbies that involve any physical activity. They used to go fishing, but not anymore.
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What are the signs of worsening congestive heart failure?

Signs of Worsening Heart Failure
  • Shortness of breath.
  • Feeling dizzy or lightheaded.
  • Weight gain of three or more pounds in one day.
  • Weight gain of five pounds in one week.
  • Unusual swelling in the legs, feet, hands, or abdomen.
  • A persistent cough or chest congestion (the cough may be dry or hacking)
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How quickly does heart failure progress?

Symptoms can develop quickly (acute heart failure) or gradually over weeks or months (chronic heart failure).
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How do you know the end is near with congestive heart failure?

Patients in the end stages of heart failure want to know what to expect. The symptoms of end-stage congestive heart failure include dyspnea, chronic cough or wheezing, edema, nausea or lack of appetite, a high heart rate, and confusion or impaired thinking.
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What are the signs of late stage heart failure?

A person with end stage heart failure may experience symptoms of cardiovascular disease, including :
  • difficulty breathing.
  • fatigue (lack of energy)
  • abdominal pain.
  • severe, unexplained weight loss.
  • irregular heartbeat.
  • fluid retention.
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Symptoms of Heart Failure



Can heart failure deteriorate suddenly?

Outlook (Prognosis)

Often, you can control heart failure by taking medicine, changing your lifestyle, and treating the condition that caused it. Heart failure can suddenly get worse due to: Ischemia (lack of blood flow to the heart muscle)
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How long can you live with worsening heart failure?

One study says that people with heart failure have a life span 10 years shorter than those who don't have heart failure. Another study showed that the survival rates of people with chronic heart failure were 80% to 90% for one year, but that dropped to 50% to 60% for year five and down to 30% for 10 years.
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When should you be hospitalized with congestive heart failure?

Go to the emergency room or call your local emergency number if you have heart failure and have gained more than 5 pounds in a week. Also seek help if you can't lie flat, are short of breath at rest, have increased swelling and discomfort in the lower body, or have a constant, hacking cough.
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Where do you hurt with congestive heart failure?

Patients with HF commonly experience pain in any part of their body. The pain is an important and frequent symptom, particularly during the time of exacerbation and hospitalization.
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How long does end stage congestive heart failure last?

Patients are considered to be in the terminal end stage of heart disease when they have a life expectancy of six months or less. Only a doctor can make a clinical determination of congestive heart failure life expectancy.
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Does heart failure always result in death?

Heart failure happens when the heart cannot pump enough blood and oxygen to support other organs in your body. Heart failure is a serious condition, but it does not mean that the heart has stopped beating. Although it can be a severe disease, heart failure is not a death sentence, and treatment is now better than ever.
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What is Stage 2 heart failure?

Stage II: You don't have heart failure symptoms at rest, but some symptoms slightly limit your physical activity. Symptoms include fatigue and shortness of breath. Stage III: Heart failure symptoms noticeably limit your physical activity (but you still are asymptomatic at rest).
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What is considered advanced congestive heart failure?

Advanced heart failure (HF) occurs when patients with HF experience persistent severe symptoms that interfere with daily life despite maximum tolerated evidence-based medical therapy.
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Is there a difference between heart failure and congestive heart failure?

Actually, heart failure means that the heart isn't pumping as well as it should be. Congestive heart failure is a type of heart failure that requires seeking timely medical attention, although sometimes the two terms are used interchangeably.
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Can you walk around with congestive heart failure?

People with heart failure feel better when they stay active. Years ago, patients were told to rest and give up activities. But, now, research shows that normal activity is safe for most people with heart failure. Being active may help relieve your symptoms.
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What triggers congestive heart failure?

The most common cause of congestive heart failure is coronary artery disease. Risk factors for coronary artery disease include: high levels of cholesterol and/or triglyceride in the blood. high blood pressure.
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What does the hospital do for congestive heart failure?

Doctors usually treat heart failure with a combination of medications. Depending on your symptoms, you might take one or more medications, including: Angiotensin-converting enzyme (ACE) inhibitors. These drugs relax blood vessels to lower blood pressure, improve blood flow and decrease the strain on the heart.
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How do you get rid of fluid from congestive heart failure?

Treatment
  1. Vasodilators expand blood vessels, ease blood flow, and reduce blood pressure.
  2. Diuretics correct fluid retention.
  3. Aldosterone inhibitors help with fluid retention and improve chances of living longer.
  4. ACE inhibitors or ARB drugs improve heart function and life expectancy.
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How long is the average hospital stay for congestive heart failure?

A simple score was derived to identify patients at high risk for prolonged hospitalization. Results: A total of 920,482 hospitalizations were included in this analysis. Mean age was 73 ± 14 years, 50% were female, and 60% were Caucasian. Median length of stay was 4 [2–6] days: 10% stayed <2 days, and 70% had <6 days.
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What is the most common cause of death in heart failure?

Cardiac arrest is the mode of demise in 30–50% of patients with heart failure and a reduced ejection fraction (HFrEF), and conversely, systolic dysfunction is a major risk factor for sudden cardiac death in the community.
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What stage of heart failure is shortness of breath?

Stage 2 of Congestive Heart Failure

Stage two of congestive heart failure will produce symptoms such as fatigue, shortness of breath, or heart palpitations after you participate in physical activity. As with stage one, lifestyle changes and certain medication can help improve your quality of life.
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Is it normal to sleep a lot with heart failure?

Conclusions: Patients with CHF who develop CSR experience excessive daytime sleepiness due to sleep disruption. This should be considered the clinical evaluation of these patients' daytime complaints.
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What is a high number for congestive heart failure?

A result greater than 100 pg/mL is abnormal. The higher the number, the more likely heart failure is present and the more severe it is. Sometimes other conditions can cause high BNP levels.
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What is a good number for congestive heart failure?

55 to 70% – Normal heart function. 40 to 55% – Below normal heart function. Can indicate previous heart damage from heart attack or cardiomyopathy. Higher than 75% – Can indicate a heart condition like hypertrophic cardiomyopathy, a common cause of sudden cardiac arrest.
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Can you live an active life with congestive heart failure?

It is possible to lead a normal life, even if you have Heart Failure. Understanding and taking control of Heart Failure is the key to success. Your doctor and healthcare providers will provide guidelines and a treatment plan. It is your responsibility to follow the treatment plan and manage your Heart Failure.
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