Overview
Heart failure, sometimes known as congestive heart failure, occurs when your heart muscle doesn't
pump blood as well as it should. Certain conditions, such as narrowed arteries in your heart (coronary
artery disease) or high blood pressure, gradually leave your heart too weak or stiff to fill and pump
efficiently.
Not all conditions that lead to heart failure can be reversed, but treatments can improve the signs and
symptoms of heart failure and help you live longer. Lifestyle changes — such as exercising, reducing
sodium in your diet, managing stress and losing weight — can improve your quality of life.
One way to prevent heart failure is to prevent and control conditions that cause heart failure, such as
coronary artery disease, high blood pressure, diabetes or obesity.
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Symptoms
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Heart failure can be ongoing (chronic), or your condition may start suddenly (acute).
Heart failure signs and symptoms may include:
Shortness of breath (dyspnea) when you exert yourself or when you lie down
Fatigue and weakness
Swelling (edema) in your legs, ankles and feet
Rapid or irregular heartbeat
Reduced ability to exercise
Persistent cough or wheezing with white or pink blood-tinged phlegm
Increased need to urinate at night
Swelling of your abdomen (ascites)
Very rapid weight gain from fluid retention
Lack of appetite and nausea
Difficulty concentrating or decreased alertness
Sudden, severe shortness of breath and coughing up pink, foamy mucus
Chest pain if your heart failure is caused by a heart attack
When to see a doctor
See your doctor if you think you might be experiencing signs or symptoms of heart failure. Seek
emergency treatment if you experience any of the following:
Chest pain
Fainting or severe weakness
Rapid or irregular heartbeat associated with shortness of breath, chest pain or fainting
Sudden, severe shortness of breath and coughing up pink, foamy mucus
Although these signs and symptoms may be due to heart failure, there are many other possible causes,
including other life-threatening heart and lung conditions. Don't try to diagnose yourself. Call 911 or
your local emergency number for immediate help. Emergency room doctors will try to stabilize your
condition and determine if your symptoms are due to heart failure or something else.
If you have a diagnosis of heart failure and if any of the symptoms suddenly become worse or you
develop a new sign or symptom, it may mean that existing heart failure is getting worse or not
responding to treatment. This may be also the case if you gain 5 pounds (2.3 kg) or more within a few
days. Contact your doctor promptly.
More Information
Heart failure care at Mayo Clinic
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