HEART FAILURE

December 20, 2024

Do you or someone you love have heart failure?  This can be scary, but it does not mean that your heart has completely stopped working.  Instead, it means that your heart is weak and having a tough time pumping blood the way it should.  This can happen for a variety of reasons, and it is important to understand what is going on.

Causes of heart failure

One of the most common causes of congestive heart failure is high blood pressure.  When your blood pressure is high for a long time, it makes your heart work harder than it needs to.  Over time, this can cause your heart to weaken and enlarge.  Another reason can be coronary artery disease, where the blood vessels that supply your heart become narrow or blocked.  This can limit the blood flow to your heart and make it tough for your heart to pump properly. A heart attack from coronary artery disease can kill a part of the heart, making that area very weak.  Other causes include heart valve problems, diabetes, and even some infections.  So, heart failure can come from many different places, but the important thing is to know how to manage it.

Treatment of heart failure

If you have been diagnosed with heart failure, you might be wondering what you can do to feel better.  One of the best ways to manage heart failure is to follow the treatments recommended by health experts.  The American Academy of Cardiology provides guidelines that help doctors decide on the best treatments for people with heart failure.  These treatments often include medications that help your heart work better.  Some common medications you might hear about are the ACE inhibitors, ARBs, Beta blockers, mineralocorticoid receptor antagonists (MRAs) like spironolactone, ARNIs like Entresto, SGLT2 inhibitors and diuretics.  These can make your heart pump more efficiently, reduce fluid buildup, and lower your blood pressure.  It is really important to talk to your doctor about which medications are right for you and to take them as prescribed.

You might think that if your heart is not working well, you should take it easy and not move around much.  While it is true that you need to listen to your body and not overdo it, staying active is actually very important.  Regular exercise can help strengthen your heart and improve your overall health.  It does not mean you have to run a marathon.  Simple activities like walking, swimming, or even gardening can make a big difference.  Just make sure to check with your doctor before starting any new exercise program. They can help you figure out what kind of exercise is safe and right for you.

Another big part of managing heart failure is your diet.  Eating healthy foods is key to feeling better and keeping your heart strong.   One important aspect of your diet is sodium.  Too much sodium can cause your body to hold onto extra fluid, which makes your heart work harder.  That is why people with heart failure are advised to follow a low sodium diet.  You might want to aim for less than 2,000 mg of sodium per day.  This means being careful with processed foods, which often have a lot of hidden salt.  Instead, try to eat fresh fruits and vegetables, whole grains, and lean proteins.  Cooking at home can also help you control how much salt you add to your meals.  It can be a fun challenge to find new recipes that are both tasty and low in sodium.

Warning signs of worsening heart failure

While you are managing your heart failure, it is also crucial to be aware of any warning signs that things might be getting worse.  Some signs to look out for include sudden weight gain, which can mean you are holding onto fluid.  If you notice swelling in your feet, ankles, or abdomen, that can also be a sign.  You should pay attention if you start feeling more short of breath than usual, especially if it happens while you are resting or lying down.  If you have a persistent cough or wheezing, it is important to let your doctor know.  Other warning signs can include feeling more fatigued than normal or having trouble concentrating.  If you notice any of these symptoms, do not hesitate to reach out to your healthcare provider.  Do not wait and see if things get better, because often they do not, and you wind up in the hospital for something that could have been treated easily in your doctor’s office.  Always error on the side of caution with heart failure.w

Managing heart failure can feel overwhelming, but there are steps you can take to feel better.  Staying on top of your medications, eating a healthy diet and getting regular exercise can all help your heart work better.  It is also a good idea to keep track of your symptoms and weight.  Any increase in weight of 2 pounds in one day or 5 pounds in a week needs to be brought to your doctor’s attention because this could indicate fluid retention.  This will help you and your doctor make the best decisions for your health.

In conclusion, managing congestive heart failure is about understanding your condition and taking proactive steps to feel better.  Stay informed about the causes and treatments, make healthy lifestyle choices, and keep an eye out for warning signs.  With a little bit of effort and support, you can live well with heart failure.  Remember, your heart matters, and taking care of it is the best thing you can do for yourself.

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