Tests you may have to diagnose heart failure include: blood tests – to check whether there's anything in your blood that might indicate heart failure or another illness. an electrocardiogram (ECG) – this records the electrical activity of your heart to check for problems.
Your doctor may recommend a blood test to check for B-type natriuretic peptide, a protein that the heart secretes to keep blood pressure stable. These levels increase with heart failure. A blood test may also be performed to look for substances that are associated with heart and lung damage.
A chest X-ray can be useful to identify evidence of heart failure or other lung pathology; however, a normal result does not rule out a diagnosis of heart failure. An electrocardiogram (ECG) is often abnormal in patients with heart failure, although up to 10% of patients may have a normal ECG.
A test called an echocardiogram is often the best test to diagnose your heart failure.
Stage A (pre-heart failure) means you're at a high risk of developing heart failure because you have a family history of congestive heart failure or you have one or more of these medical conditions: Hypertension. Diabetes. Coronary artery disease.
Typical symptoms physicians look for include shortness of breath on exertion and fatigue. During an exam, your doctor will use a stethoscope to check for fluid in the lungs or listen to the heart to detect abnormal pumping sounds common in CHF.
Symptom-free (asymptomatic) heart failure: There are no symptoms, but certain tests can detect that the heart isn't performing as well as it should. Mild heart failure: More strenuous physical exercise like climbing stairs or walking uphill causes symptoms like exhaustion or shortness of breath.
Having either high LDL cholesterol (“bad” cholesterol) or low HDL cholesterol (“good” cholesterol)—or both—is one of the best predictors of your risk of heart disease. A blood lipid profile measures both your cholesterol numbers and your triglycerides, another type of fat in the blood that is a risk factor.
The progress of heart failure is unpredictable and different for each person. In many cases, the symptoms remain at a stable level for quite some time (months or years) before becoming worse. In some cases the severity and symptoms become gradually worse over time.
As heart failure progresses, you may experience more pronounced symptoms, including: Belly pain: You may feel bloated or fuller after eating. Breathing disturbance: You may have shortness of breath all the time or with exertion. You might also have a cough when lying down.
People with heart failure may feel constantly tired and have difficulty performing daily activities such as walking, climbing stairs or carrying groceries. Exercise intolerance and fatigue are often the most common symptoms of heart failure.
If you wake up feeling not refreshed, you have daytime sleepiness or if you need to curtail your daytime activity because of lack of energy, these could be signs your heart failure isn't being managed as well as it could be, Dr. Freeman says.
It is not surprising therefore that misdiagnosis can occur at any level of the heart failure journey and can occur because of patient, clinician, and health economy related factors. Delayed diagnosis leads to excess morbidity and mortality in these patients.
In general, more than half of all people diagnosed with congestive heart failure will survive for 5 years. About 35% will survive for 10 years. Congestive heart failure (CHF) is a chronic, progressive condition that affects the heart's ability to pump blood around the body.
Many people are first alerted to worsening heart failure when they notice a weight gain of more than two or three pounds in a 24-hour period or more than five pounds in a week. This weight gain may be due to retaining fluids since the heart is not functioning properly.
Most often, heart failure is caused by another medical condition that damages your heart. This includes coronary heart disease, heart inflammation, high blood pressure, cardiomyopathy, or an irregular heartbeat.
While most patients with suspected HF do not require invasive testing for diagnosis, the clinical gold standard for diagnosis of HF is identification of an elevated pulmonary capillary wedge pressure at rest or exercise on an invasive hemodynamic exercise test in a patient with symptoms of HF.
Heart failure occurs when the heart muscle doesn't pump blood as well as it should. Blood often backs up and causes fluid to build up in the lungs and in the legs. The fluid buildup can cause shortness of breath and swelling of the legs and feet. Poor blood flow may cause the skin to appear blue or gray.