The Facts About Congestive Heart Failure

By Kevin Brzenk, published May 01, 2006
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Contrary to popular belief, congestive heart failure is not the same thing as cardiac arrest or a heart attack. Congestive heart failure, or simply heart failure, is a condition in which the heart loses its ability to pump blood efficiently. In cardiac arrest, the heart stops beating.

Congestive heart failure almost always happens over a long period of time, and is a result of chronic heart problems. The condition is often limited to one side of the heart or the other, but it can also affect both. Because the pumping action of the heart is diminished, blood may become retained in other areas of the body including the liver, the gastrointestinal tract and the lungs.

When organs don’t receive the proper oxygen and nutrients as a result of congestive heart failure, they can become damaged and they lose their ability to function properly. That is the inherent danger of congestive heart failure; when the heart is unable to pump blood as it should, an unlimited number of other organs can be significantly damaged.

Congestive heart failure often happens as a result of a heart attack, because the heart has been weakened, or because of high blood pressure (also called hypertension). These causes are known as “structural” or “functional” causes, and can also include valvular heart disease, heart tumors, lung disease and dilated cardiomyopathy.

As with many heart-related disorders, congestive heart failure increases in likelihood with age. Other high-risk factors include recreational drug use, smoking, weight gain, and diabetes.

The symptoms of congestive heart failure vary, and may be different from patient-to-patient. The swelling of the feet and the ankles is an early sign, as is the alternate swelling of the abdomen. Patients might also experience irregular nausea and vomiting, insomnia, difficulty breathing during exercise and severe indigestion. A more frequent need to urinate during the night and a decreased ability to concentrate might be other symptoms.

Takeaways
  • Congestive heart failure is not the same as cardiac arrest or a heart attack.
  • Congestive heart failure is common after the heart has been weakened by a heart attack.
  • Keeping a close eye on the disease will help to guard against future "flare-ups".
Did You Know?
There are four different classes (I-IV) and four different stages (A-D) of congestive heart failure.
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