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What is heart failure?



Your heart pumps blood to carry oxygen and nutrients to the rest of your body. Heart failure is when your heart doesn’t pump blood as well as it should. It doesn’t mean your heart has stopped (that's called cardiac arrest).


If you have heart failure, your heart pumps less blood

That causes fluid to back up in your lungs and other body part

Extra fluid in your lungs makes it hard to breathe

Extra fluid in your legs makes them swell

If your kidneys don’t get enough blood, they make less urine so the body has more fluid

That extra fluid makes your heart work even harder

Then, your heart failure can get even worse


The extra fluid in your body is called “congestion.” That’s why heart failure is sometimes called “congestive heart failure.”

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Pathophysiology of heart failure

Pathophysiology of heart failure In heart failure, the heart may not provide tissues with adequate blood for metabolic needs, and cardiac-related elevation of pulmonary or systemic venous pressures may result in organ congestion. This condition can result from abnormalities of systolic or diastolic function or, commonly, both. Although a primary abnormality can be a change in cardiomyocyte function, there are also changes in collagen turnover of the extracellular matrix. Cardiac structural defects (eg, congenital defects, valvular disorders), rhythm abnormalities (including persistently high heart rate), and high metabolic demands (eg, due to thyrotoxicosis) also can cause HF.

What causes heart failure?

Any problem that makes your heart weak or stiff can cause heart failure. Common examples of such problems are: High blood pressure  (makes your heart work too hard) Coronary artery disease  (blocks the blood supply to your heart muscle) Heart valve problems  (leaky or blocked valves make it hard to pump blood) Other problems that can cause heart failure are an  irregular heart rhythm , low number of red blood cells ( anemia ),  thyroid gland  problems, and heart muscle infections. Most disorders cause heart failure only after many years. However, some disorders, such as a major  heart attack , can cause heart failure quickly. Often, a person’s heart failure has more than one cause.

What are the symptoms of heart failure?

eeling like you can’t catch your breath, which worsens when you lie flat Feeling tired all over Swelling in your feet, ankles, and legs Symptoms usually develop slowly. At first you may feel out of breath only when you climb stairs and notice only a little leg swelling at the end of the day. Later, you may feel out of breath or tired when you do ordinary activities. When heart failure is severe, you may be out of breath even sitting in a chair and have a lot of leg swelling all the time. Heart failure can shorten your life, especially when it's severe. Treatment can help you live longer.