Heart failure

Heart failure

Heart failure means the heart is not pumping as well as it should. It does not mean the heart has stopped. Treatment can help people live longer and feel better.

Written by Neil Hyde Last checked 1 minute read

Heart failure means your heart is not pumping blood around your body as well as it should. It is usually a long-term condition that gets worse over time, but treatment can control symptoms for many years. Around 1 million people in the UK have heart failure.

Symptoms

  • breathlessness, when active, lying flat or at night
  • feeling very tired and weak
  • swollen ankles and legs, caused by fluid building up
  • sudden weight gain
  • feeling dizzy or light-headed

Common causes

  • a heart attack or coronary heart disease
  • high blood pressure
  • atrial fibrillation and other heart rhythm problems
  • problems with the heart valves or heart muscle (cardiomyopathy)
  • heavy drinking

Getting diagnosed

Your GP may do a blood test called NT-proBNP. If it is raised, you will be referred for an echocardiogram, an ultrasound scan of the heart. It shows how well your heart pumps, often given as the ejection fraction.

Read about heart failure treatment.

Common questions

Does heart failure mean my heart is about to stop?

No. It means your heart needs extra support to pump blood around your body. Many people live for many years with heart failure.

Why do I need to weigh myself every day?

A sudden weight gain, such as 2kg (about 4 pounds) in 3 days, can be a sign that fluid is building up. Your heart failure team can then adjust your medicine early.

Sources we used

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