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Diseases » Heart failure » Symptoms
 

Symptoms of Heart failure

Symptoms of Heart failure

The list of signs and symptoms mentioned in various sources for Heart failure includes the 22 symptoms listed below:

Research symptoms & diagnosis of Heart failure:

Heart failure: Complications

Review medical complications possibly associated with Heart failure:

Heart failure Symptoms: Book Excerpts

Diagnostic Testing

Diagnostic testing of medical conditions related to Heart failure:

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Do I have Heart failure?

Heart failure: Medical Mistakes

Heart failure: Undiagnosed Conditions

Diseases that may be commonly undiagnosed in related medical areas:

Home Diagnostic Testing

Home medical tests related to Heart failure:

Wrongly Diagnosed with Heart failure?

The list of other diseases or medical conditions that may be on the differential diagnosis list of alternative diagnoses for Heart failure includes:

See the full list of 10 alternative diagnoses for Heart failure

Heart failure: Research Doctors & Specialists

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More about symptoms of Heart failure:

More information about symptoms of Heart failure and related conditions:

Other Possible Causes of these Symptoms

Click on any of the symptoms below to see a full list of other causes including diseases, medical conditions, toxins, drug interactions, or drug side effect causes of that symptom.

Medical Books Online about Heart failure

Medical Books Excerpts Excerpts of published medical book chapters related to Heart failure are available from published medical books for more detailed information about Heart failure.

Medical Books Excerpts
  • Cardiomegaly
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Cardiac Failure
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.

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Patient Surveys for Heart failure

Symptoms of Heart failure: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the symptoms of Heart failure.


Heart failure: Signs and Symptoms
(Professional Guide to Diseases (Eighth Edition))

Left-sided: dyspnea, orthopnea, crackles, wheezing, hypoxia, respiratory acidosis, cough, cyanosis, palpitations, arrhythmias, elevated blood pressure, pulsus alternans; right-sided: dependent peripheral edema, hepatomegaly, splenomegaly, jugular vein distention, ascites, weight gain, arrhythmias, hepatojugular reflux, nausea, vomiting, anorexia, fatigue, dizziness, syncope, weakness

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Heart failure: Signs and symptoms
(Handbook of Diseases)

Heart failure is usually classified by the site of failure (left-sided, right-sided, or both). It may also be classified as systolic or diastolic. These classifications represent different clinical aspects of heart failure, not distinct diseases.

Left-sided heart failure primarily produces pulmonary signs and symptoms; right-sided heart failure primarily produces systemic signs and symptoms. However, heart failure often affects both sides of the heart.

Left-sided heart failure

Clinical signs of left-sided heart failure include dyspnea, orthopnea, crackles, possibly wheezing, hypoxia, respiratory acidosis, cough, cyanosis or pallor, palpitations, arrhythmias, elevated blood pressure, and pulsus alternans. Symptoms are due to decreased left ventricular output, which results in fluid accumulation in the lungs.

Right-sided heart failure

Clinical signs of right-sided heart failure include dependent peripheral edema, hepatomegaly, splenomegaly, jugular vein distention, ascites, slow weight gain, arrhythmias, hepatojugular reflex, abdominal distention, nausea, vomiting, anorexia, weakness, fatigue, dizziness, and syncope. Right-sided heart failure is often caused by disorders that increase vascular resistance (such as pulmonary embolism or stenosis, or hypertension).

Systolic failure

Systolic failure occurs when the heart’s ability to contract effectively decreases. This causes a decrease in the cardiac output and the ejection fraction. Clinical signs of systolic dysfunction include an S3 gallop, normal or low blood pressure, and an ejection fraction of less than 40%.

Diastolic failure

Diastolic failure occurs when the heart has a problem relaxing. The heart can’t properly fill with blood because the muscle has become stiff and noncompliant. Clinical signs of diastolic failure include an S4, elevated blood pressure, and a normal or near normal ejection fraction.

Complications

Complications of heart failure typically include pulmonary edema, venostasis with a predisposition to thromboembolism (associated primarily with prolonged bed rest), cerebral insufficiency, and renal insufficiency with severe electrolyte imbalance. (See Pulmonary edema: How to intervene.)

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Article Excerpts About Symptoms of Heart failure:

A number of symptoms are associated with heart failure, but none is specific for the condition. Perhaps the best known symptom is shortness of breath ("dyspnea") . In heart failure, this may result from excess fluid in the lungs. The breathing difficulties may occur at rest or during exercise. In some cases, congestion may be severe enough to prevent or interrupt sleep.

Fatigue or easy tiring is another common symptom. As the heart's pumping capacity decreases, muscles and other tissues receive less oxygen and nutrition, which are carried in the blood. Without proper "fuel," the body cannot perform as much work, which translates into fatigue.

Fluid accumulation, or edema, may cause swelling of the feet, ankles, legs, and occasionally, the abdomen. Excess fluid retained by the body may result in weight gain, which sometimes occurs fairly quickly.

Persistent coughing is another common sign, especially coughing that regularly produces mucus or pink, blood-tinged sputum. Some people develop raspy breathing or wheezing.

Because heart failure usually develops slowly, the symptoms may not appear until the condition has progressed over years. The heart hides the underlying problem by making adjustments that delay--but do not prevent--the eventual loss in pumping capacity. The heart adjusts, or compensates, in three ways to cope with and hide the effects of heart failure:

  • Enlargement ("dilatation"), which allows more blood into the heart;

  • Thickening of muscle fibers ("hypertrophy") to strengthen the heart muscle, which allows the heart to contract more forcefully and pump more blood; and

  • More frequent contraction, which increases circulation.
By making these adjustments, or compensating, the heart can temporarily make up for losses in pumping ability, sometimes for years. However, compensation has its limits. Eventually, the heart cannot offset the lost ability to pump blood, and the signs of heart failure appear. (Source: excerpt from NHLBI, Heart Failure: NHLBI)

Heart failure as a Cause of Symptoms or Medical Conditions

When considering symptoms of Heart failure, it is also important to consider Heart failure as a possible cause of other medical conditions. The Disease Database lists the following medical conditions that Heart failure may cause:

- (Source - Diseases Database)

Heart failure as a symptom:

For a more detailed analysis of Heart failure as a symptom, including causes, drug side effect causes, and drug interaction causes, please see our Symptom Center information for Heart failure.

Medical articles and books on symptoms:

These general reference articles may be of interest in relation to medical signs and symptoms of disease in general:

Full list of premium articles on symptoms and diagnosis

About signs and symptoms of Heart failure:

The symptom information on this page attempts to provide a list of some possible signs and symptoms of Heart failure. This signs and symptoms information for Heart failure has been gathered from various sources, may not be fully accurate, and may not be the full list of Heart failure signs or Heart failure symptoms. Furthermore, signs and symptoms of Heart failure may vary on an individual basis for each patient. Only your doctor can provide adequate diagnosis of any signs or symptoms and whether they are indeed Heart failure symptoms.


 » Next page: Diagnostic Tests for Heart failure

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