How is congestive heart failure confirmed?

A test called an echocardiogram is often the best test to diagnose your heart failure. Your doctor can also use this test to find out why you have heart failure, and then monitor your condition going forward every three to six months.
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Does congestive heart failure show up in blood work?

Tests for 2 kinds of natriuretic peptides are currently available for the diagnosis of heart failure: BNP (B-type natriuretic peptide) and pro-BNP (N-terminal pro–B-type natriuretic peptide). Blood levels of both of these substances become elevated in patients with congestive heart failure.
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What is the marker for congestive heart failure?

Currently the natriuretic peptides are the most commonly used biomarker and help in the diagnosis and prognostication of patients with heart failure.
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What are 3 clinical manifestations of congestive heart failure?

The common symptoms of congestive heart failure include fatigue, dyspnoea, swollen ankles, and exercise intolerance, or symptoms that relate to the underlying cause.
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What can mimic congestive heart failure?

Chronic kidney disease can look like heart failure. Both diseases cause fluids to backup, leading to swelling, or edema, in your lower extremities, meaning in your legs and feet. Fluid can build up in the lungs, as well, in both diseases, leading to (once again) shortness of breath.
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How Heart Failure is Diagnosed



What is the gold standard for diagnosing congestive heart failure?

While most patients with suspected HF do not require invasive testing for diagnosis, the clinical gold standard for diagnosis of HF is identification of an elevated pulmonary capillary wedge pressure at rest or exercise on an invasive hemodynamic exercise test in a patient with symptoms of HF.
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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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Does heart failure show up on EKG?

Electrocardiogram (ECG or EKG) to assess the heart rate and rhythm. This test can often detect heart disease, heart attack, an enlarged heart, or abnormal heart rhythms that may cause heart failure. Chest X-ray to see if the heart is enlarged and if the lungs are congested with fluid.
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Can you have congestive heart failure and not know it?

If you have heart failure, you may not have any symptoms, or the symptoms may range from mild to severe. Symptoms can be constant or can come and go. Heart failure symptoms are related to the changes that occur to your heart and body, and the severity depends on how weak your heart is.
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Is there such a thing as mild congestive heart failure?

What are the symptoms of mild congestive heart failure? The patient may experience bouts of fluid retention and weight gain, shortness of breath on exertion, and decreased exercise tolerance. Some patients may have significant problems with swelling of their legs.
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What age does congestive heart failure usually start?

Heart failure can happen at any age. It happens to both men and women, but men often develop it at a younger age than women. Your chance of developing heart failure increases if: You're 65 years old or older.
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What are the two main symptoms of heart failure?

Symptoms
  • Breathlessness or Shortness of Breath (Dyspnea) When the heart begins to fail, blood backs up in the veins attempting to carry oxygenated blood from the lungs to the heart. ...
  • Fatigue As heart failure becomes more severe, the heart is unable to pump the amount of blood required to meet all of the body's needs.
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Can a doctor tell if you have heart failure by listening to your heart?

Your doctor can listen to your lungs for signs of fluid buildup (lung congestion) and your heart for whooshing sounds (murmurs) that may suggest heart failure. The doctor may examine the veins in your neck and check for fluid buildup in your abdomen and legs.
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What is heart rate for heart failure?

Fast heart rate (more than 120-150 beats per minute, or a rate noted by your doctor), especially if you are short of breath. Shortness of breath that doesn't get better if you rest.
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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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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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What is a good blood pressure for someone with congestive heart failure?

In patients with heart failure with reduced ejection fraction, guidelines consensually recommend treating hypertension with drugs that have compelling indications in heart failure, with a target blood pressure of 130/80 mmHg.
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What is a normal blood pressure for congestive heart failure?

Little robust evidence exists regarding the optimal blood pressure target for patients with heart failure, but a value near 130/80 mmHg seems to be adequate according to the current guidelines.
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What is a commonly prescribed drug for congestive heart failure?

Commonly prescribed include:
  • Furosemide (Lasix)
  • Bumetanide (Bumex)
  • Torsemide (Demadex)
  • Chlorothiazide (Diuril)
  • Amiloride (Midamor Chlorthalidone (Hygroton)
  • Hydrochlorothiazide or HCTZ (Esidrix, Hydrodiuril)
  • Indapamide (Lozol)
  • Metolazone (Zaroxolyn)
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Can you hear congestive heart failure with a stethoscope?

During an exam, your doctor will use a stethoscope to check for fluid in the lungs or listen to the heart to detect abnormal pumping sounds common in CHF.
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What lung sounds are heard with congestive heart failure?

Early stages of CHF may present with wheezing. As fluid begins to move into the lungs, the bronchioles will constrict in an effort to keep fluid out. This constriction will create wheezing. This has been referred to as cardiac asthma.
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What is the number one symptom of heart failure?

Shortness of breath with activity or when lying down. Fatigue and weakness. Swelling in the legs, ankles and feet. Rapid or irregular heartbeat.
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What is the most common test for heart failure?

A test called an echocardiogram is often the best test to diagnose your heart failure. Your doctor can also use this test to find out why you have heart failure, and then monitor your condition going forward every three to six months.
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What are the warning signs your 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 four signs of congestive heart failure?

Symptoms of heart failure include:
  • Shortness of breath.
  • Feeling tired (fatigue) and having leg weakness when you're active.
  • Swelling in your ankles, legs and abdomen.
  • Weight gain.
  • Need to urinate while resting at night.
  • Rapid or irregular heartbeats (palpitations).
  • A dry, hacking cough.
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