Monday, October 3, 2022

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How Can I Prevent Heart Failure

An Osmosis Video: Congestive Heart Failure (CHF) Explained

You can prevent heart failure by preventing coronary heart disease and heart attack. The best way to do this is to reduce or eliminate the risk factors that lead to heart failure. You could:

If you have had a heart attack, its even more important to manage your risk factors and follow your treatment plan. Make sure you check in frequently with your healthcare team.

Some risk factors such as your age, whether you have other health conditions, or your genes may be outside your control. Speak with your doctor if you have concerns about developing heart failure, and how you can manage it.

Congestive Heart Failure Drugs

There are several medications that can be used to treat CHF, including ACE inhibitors, beta-blockers, and more.

ACE inhibitors

Angiotensin-converting enzyme inhibitors open up narrowed blood vessels to improve blood flow. Vasodilators are another option if you cant tolerate ACE inhibitors.

You may be prescribed one of the following:

voluntary recall of 5 lots of the drug Accupril due to the presence of nitrosamine. Nitrosamine, a known carcinogen with the potential to cause cancer, was found to exist in the drug at levels greater than the Acceptable Daily Intake as determined by the FDA. This recall is specific only to a handful of lot numbers and does not affect all Accupril tablets made by Pfizer. If you take Accupril tablets, talk with your pharmacist or doctor and they will help you determine if your medication has been impacted by the recall.

ACE inhibitors shouldnt be taken with the following medications without consulting a doctor, because they may cause an adverse reaction:

  • Potassium-sparing diuretics and potassium supplements. These diuretics can cause potassium buildup in the blood, which may lead to abnormal heart rhythms. Examples include: riamterene , eplerenone , and spironolactone .
  • Nonsteroidal anti-inflammatory drugs .NSAIDs such as ibuprofen, aspirin, and naproxen, can cause sodium and water retention. This may reduce the ACE inhibitors effect on your blood pressure.

Beta-blockers

This may be achieved with:

Diuretics

Your doctor may recommend:

Causes Of Heart Failure

Heart failure is often the result of a number of problems affecting the heart at the same time.

Conditions that can lead to heart failure include:

Sometimes obesity, anaemia, drinking too much alcohol, an overactive thyroid or high pressure in the lungs can also lead to heart failure.

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What Are The Symptoms Of Heart Failure

You may not have any symptoms of heart failure, or the symptoms may be mild to severe. Symptoms can be constant or can come and go. The symptoms can include:

  • Congested lungs. Fluid backup in the lungs can cause shortness of breath with exercise or difficulty breathing at rest or when lying flat in bed. Lung congestion can also cause a dry, hacking cough or wheezing.
  • Fluid and water retention. Less blood to your kidneys causes fluid and water retention, resulting in swollen ankles, legs, abdomen , and weight gain. Symptoms may cause an increased need to urinate during the night. Bloating in your stomach may cause a loss of appetite or nausea.
  • Dizziness, fatigue, and weakness. Less blood to your major organs and muscles makes you feel tired and weak. Less blood to the brain can cause dizziness or confusion.
  • Rapid or irregular heartbeats. The heart beats faster to pump enough blood to the body. This can cause a rapid or irregular heartbeat.

If you have heart failure, you may have one or all of these symptoms or you may have none of them. They may or may not indicate a weakened heart.

Contact Sonas For Home Health Care Services

Congestive Heart Failure: The Medical Definition

If your family member has recently been diagnosed with congestive heart failure, now may be the ideal time to consider home health care. A home care service provider can be with your loved one on a customized schedule that is right for your family.

This means that even if you are not able to be with them, you can be confident in knowing they are getting everything they need to stay healthy, safe, and comfortable, as well as maintain as much independence and control as possible.

If you or an aging loved one are considering home health care services in Florida, contact the caring staff at Sonas Home Health Care. Call today .

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The Earliest Symptoms Of Heart Failure Are Often Very Subtle But It’s Dangerous To Ignore Them

It’s an unfortunate truth that your body slows down in your sixth and seventh decades. Climbing a flight of stairs that you once took two at a time can now feel as daunting as scaling Mount Everest. While some degree of vitality loss can be attributed to natural aging, fatigue and breathlessness may also be signals that your heart is not functioning as well as it should. “There is a general tendency for people to ignore heart failure symptoms and attribute them to just getting older. Therefore, it was very important for us to create an easy way to identify those symptoms,” says Dr. Mandeep R. Mehra, medical director of the Heart and Vascular Center at Harvard-affiliated Brigham and Women’s Hospital.

How Is Congestive Heart Failure Diagnosed

Patients will typically have an intake visit with a heart specialist and nurse or physicians assistant. During this visit, a review of the patients prior records and his or her current health status is incorporated to establish a picture of where the patient is along the spectrum, and then a plan is established for prognosis and treatment.

The process often takes more than one meeting and involves both the patients local cardiologist or referring physician.

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Outlook For Heart Failure

Heart failure is a serious long-term condition that will usually continue to get slowly worse over time.

It can severely limit the activities you’re able to do and is often eventually fatal.

But it’s very difficult to tell how the condition will progress on an individual basis.

It’s very unpredictable. Lots of people remain stable for many years, while in some cases it may get worse quickly.

What Are The Types Of Heart Failure

Pathophysiology of Congestive Heart Failure (CHF)

Systolic dysfunction happens when the heart muscle doesn’t contract with enough force, so there is less oxygen-rich blood pumped throughout the body.

Diastolic dysfunction happens when the heart contracts normally, but the ventricles donât relax properly or are stiff, and less blood enters the heart during normal filling.

A calculation done during an echocardiogram, called the ejection fraction , is used to measure how well your heart pumps with each beat to help determine if systolic or diastolic dysfunction is present. Your doctor can discuss which condition you have.

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Life Expectancy With Congestive Heart Failure

The life expectancy of someone with congestive heart failure depends on the type of heart failure, the cause, the stage of the disease, and how effective treatment is.

When heart failure results from cardiomyopathy or coronary artery disease, a person typically has a less positive outlook than someone with heart failure in its earliest stage.

What Is Congestive Heart Failure In Cats

Congestive heart failure is a term that refers to the heart’s inability to pump enough blood to the body. Due to this, blood starts to back up into the lungs and fluid accumulates in the chest, abdomen, or both. This lead to further constriction of the heart and lungs, and limits oxygen flow throughout the body. There are many causes of CHF in cats, but the two most common causes are:

  • Mitral valve insufficiency , which refers to a leaky mitral valve, which is the valve between the left atrium and the left ventricle.
  • Dilated cardiomyopathy , which is when the heart chambers enlarge and lose their ability to contract.

Clinical signs of CHF vary depending on whether the cat has left- or right-sided heart failure.

Right-sided congestive heart failure

This occurs when a heart contraction causes some blood to leak into the right atrium from the right ventricle rather than being pushed through the lungs and becoming oxygenated. As a result, the main circulation system becomes congested with blood, and fluid accumulates in the abdomen, interfering with adequate organ function. Excess fluid might also build up in the limbs and cause swelling known as peripheral edema.

Left-sided congestive heart failure

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How Is Hf Treated

Initial symptoms should be managed so the failing heart doesnt have to work as hard.

The cause of HF also needs treatment. For example, if a heart valve problem is the cause, surgery may be needed to repair or replace the valve. Lifestyle changes will be needed. Smoking lowers the blood oxygen level and makes the heart work harder, so avoid tobacco. Less fluid and salt in the diet reduces fluid in the body. Also, if overweight, losing weight will help. Dietitians and nutritionists can help plan a diet.

Oxygen may be given to reduce the workload on the lungs.

Medicines may be prescribed to reduce fluid in the body or help the ventricle contract better. Diuretics remove fluid. Nitrates open blood vessels so blood flows more easily. Angiotensin-converting enzyme inhibitors help the ventricle contract. Beta-blockers help by slowing the heart rate. Other drugs reduce blood pressure. All may have side effects, including dehydration, cough, dizziness, fainting, and fatigue.

Pacemakers and implantable defibrillators may be used in some cases.

Heart transplantation is an option in some patients when other treatments fail.

What Are The Complications Of Heart Failure

Congestive Heart Failure (CHF): Symptoms, Stages, Life Expectancy ...

Some of the complications from heart failure include:

  • Irregular heartbeat.
  • History of taking drugs that can damage your heart muscle, such as some cancer drugs.

Stage B

Stage B is considered pre-heart failure. It means your healthcare provider has given you a diagnosis of systolic left ventricular dysfunction but youve never had symptoms of heart failure. Most people with Stage B heart failure have an echocardiogram that shows an ejection fraction of 40% or less. This category includes people who have heart failure and reduced EF due to any cause.

Stage C

People with Stage C heart failure have a heart failure diagnosis and currently have or previously had signs and symptoms of the condition.

There are many possible symptoms of heart failure. The most common are:

  • Shortness of breath.
  • Need to urinate while resting at night.
  • Rapid or irregular heartbeats .
  • A dry, hacking cough.
  • A full or hard stomach, loss of appetite or upset stomach .

There may be times that your symptoms are mild or you may not have any symptoms at all. This doesn’t mean you no longer have heart failure. Symptoms of heart failure can range from mild to severe and may come and go.

Unfortunately, heart failure usually gets worse over time. As it worsens, you may have more or different signs or symptoms.Its important to let your doctor know if you have new symptoms or if your symptoms get worse.

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Systolic And Diastolic Failure

Systolic and diastolic heart failure each result in a decrease in stroke volume. This leads to activation of peripheral and central baroreflexes and chemoreflexes that are capable of eliciting marked increases in sympathetic nerve traffic.

Although there are commonalities in the neurohormonal responses to decreased stroke volume, the neurohormone-mediated events that follow have been most clearly elucidated for individuals with systolic heart failure. The ensuing elevation in plasma norepinephrine directly correlates with the degree of cardiac dysfunction and has significant prognostic implications. Norepinephrine, while directly toxic to cardiac myocytes, is also responsible for a variety of signal-transduction abnormalities, such as downregulation of beta1-adrenergic receptors, uncoupling of beta2-adrenergic receptors, and increased activity of inhibitory G-protein. Changes in beta1-adrenergic receptors result in overexpression and promote myocardial hypertrophy.

What Causes Heart Failure

Heart failure is caused by many conditions that damage the heart muscle, including:

  • Coronary artery disease.Coronary artery disease , a disease of the arteries that supply blood and oxygen to the heart, causes decreased blood flow to the heart muscle. If the arteries become blocked or severely narrowed, the heart becomes starved for oxygen and nutrients.
  • Heart attack. A heart attack happens when a coronary artery becomes suddenly blocked, stopping the flow of blood to the heart muscle. A heart attack damages the heart muscle, resulting in a scarred area that doesnât work the way it should.
  • Cardiomyopathy. Damage to the heart muscle from causes other than artery or blood flow problems, such as from infections or alcohol or drug abuse.
  • Conditions that overwork the heart. Conditions including high blood pressure, valve disease, thyroid disease, kidney disease, diabetes, or heart defects present at birth can all cause heart failure. In addition, heart failure can happen when several diseases or conditions are present at once.

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When Should I Get Emergency Care

Go to the ER or call 911 if you have:

  • New, unexplained, and severe chest pain that comes with shortness of breath, sweating, nausea, or weakness
  • Fast heart rate , especially if you are short of breath
  • Shortness of breath that doesn’t get better if you rest
  • Sudden weakness, or you can’t move your arms or legs
  • Sudden, severe headache
  • Fainting spells

Heart Failure: Pumping And Filling Problems

Congestive Heart Failure (CHF) for Nursing & NCLEX

Normally, the heart stretches as it fills with blood , then contracts to pump out the blood . The main pumping chambers in the heart are the ventricles.

Heart failure due to systolic dysfunction usually develops because the heart cannot contract normally. It may fill with blood, but the heart cannot pump out as much of the blood it contains because the muscle is weaker or because a heart valve malfunctions. As a result, the amount of blood pumped to the body and to the lungs is reduced, and the ventricle usually enlarges.

Heart failure due to diastolic dysfunction develops because the heart muscle stiffens and may thicken so that the heart cannot fill normally with blood. Consequently, blood backs up in the left atrium and lung blood vessels and causes congestion. Nonetheless, the heart may be able to pump out a normal percentage of the blood it receives .

The heart chambers always contain some blood, but different amounts of blood may enter or leave the chambers with each heartbeat as indicated by the thickness of the arrows.

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What Are The Stages Of Congestive Heart Failure

The New York Heart Association has developed a scale that commonly is used to determine the functional capabilities of heart failure.

New York Heart Association Functional Classification of Heart Failure

  • Class I: Patients without limitation of physical activity.
  • Class II: Patients with slight limitation of physical capacity, in which marked increase in physical activity leads to fatigue, palpitations, dyspnea, or anginapain they are comfortable at rest.
  • Class III: Patients with marked limitation of physical activity in which minimal ordinary activity results in fatigue, palpitation, dyspnea, or angina pain they are comfortable at rest.
  • Class IV: Patients who are not only unable to carry on any physical activity without discomfort but who also have symptoms of heart failure or angina syndrome even at rest the patient’s discomfort increases if any physical activity is undertaken.
  • Heart Failure Signs And Symptoms

    By themselves, any one sign of heart failure may not be cause for alarm. But if you have more than one of these symptoms, even if you haven’t been diagnosed with any heart problems, report them to a healthcare professional and ask for an evaluation of your heart. Congestive heart failure is a type of heart failure which requires seeking timely medical attention, although sometimes the two terms are used interchangeably.

    This table lists the most common signs and symptoms, explains why they occur and describes how to recognize them.

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    Factors That Can Worsen Symptoms Of Heart Failure

    The symptoms of heart failure can be worsened by a number of factors, including:

    • too much salt, fluid, or alcohol in the diet
    • some viral and bacterial infections
    • kidney diseases

    Treatment for heart failure may include:

    • medicines, such as
    • diuretics to remove excess fluid and improve symptoms of heart failure
    • mineralcortiocoid receptor antagonists are also recommended and used in most patients with heart failure to reduce mortality and hospitalisation
    • ACE inhibitors to open up blood vessels, reduce blood pressure and reduce sodium retention and water retention
    • certain beta-blockers to slow the heart rate and reduce its work
    • aldosterone blockers to reduce blood pressure and reduce the effects of damage to the heart muscle
    • ACE inhibitors, beta blockers and aldosterone blockers can increase survival and reduce the likelihood of hospitalisation.
  • addressing the underlying disorder for example, treatment of high blood pressure
  • lifestyle changes such as regular gentle physical activity, losing excess body fat, stopping smoking, adhering to healthy eating patterns with low salt, restricting alcohol and having adequate rest
  • surgery to replace narrowed or leaking heart valves
  • coronary bypass surgery in some cases
  • heart transplant in extreme cases.
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