Glossary
Congestive Heart Failure (CHF), also known as heart failure, is a chronic progressive condition that affects the pumping power of the heart muscles. It is a serious condition that requires medical attention, but with the right treatment and lifestyle changes, people with CHF can lead a full and enjoyable life. The term "congestive heart failure" comes from blood backing up into the liver, abdomen, lower extremities, and lungs, leading to congestion, a common symptom of heart failure. However, not all heart failures are congestive. The condition may affect the left side, right side, or both sides of the heart. Each side of the heart has a different function, and different symptoms will occur depending on which side is affected.
CHF is characterized by the heart's inability to pump an adequate supply of blood to the body. When the body is deprived of the necessary amount of blood, it becomes challenging to carry out everyday activities such as walking, climbing stairs, or carrying groceries. CHF can be caused by numerous conditions that damage the heart muscle, including coronary artery disease, heart attack, cardiomyopathy, and conditions that overwork the heart such as high blood pressure, kidney disease, diabetes, or thyroid disease. Symptoms of CHF can range from mild to severe and may come and go. They include shortness of breath, fatigue, swollen legs, rapid heartbeat, persistent cough or wheezing, increased need to urinate at night, swelling of your abdomen, very rapid weight gain from fluid retention, lack of appetite and nausea, difficulty concentrating, sudden, severe shortness of breath and coughing up pink, foamy mucus. In the early stages of CHF, a person might not experience any symptoms. However, as the condition progresses, symptoms will become more apparent and severe. It's essential to seek immediate medical attention if you experience any severe symptoms or a sudden worsening of symptoms.
The diagnosis of CHF is based on medical history, a physical exam, and diagnostic tests. The doctor may ask about any conditions you have that could cause heart failure, such as coronary artery disease, diabetes, high blood pressure, or obesity. Diagnostic tests can include blood tests, chest X-ray, electrocardiograms (EKG), echocardiograms, stress tests, CT scan, or MRI. Treatment for CHF aims to manage the symptoms, slow the progression of the disease, improve quality of life, and increase lifespan. The treatment plan may include lifestyle changes, medications, and in severe cases, devices and surgical procedures. Lifestyle changes can include a healthy diet, regular physical activity, quitting smoking, maintaining a healthy weight, and managing stress. Medications can help improve the heart's ability to pump blood, decrease fluid in the lungs, decrease swelling in the feet and ankles, and help the body get rid of excess fluid.
In conclusion, CHF is a severe, chronic condition where the heart's pumping power is weaker than normal. It requires lifelong management, but with the right treatment plan and lifestyle changes, people with CHF can lead a full and active life. It's crucial to have regular check-ups with your doctor, follow your treatment plan, and report any changes in your symptoms.