Definition
Heart Failure occurs when the heart cannot pump blood efficiently to the body. Either the heart cannot fill with enough blood, it cannot pump with enough force, or sometimes both. Approximately 5.7 million people in the United States have heart failure.
Also Known As
- Congestive heart failure
- Left-side heart failure
- Right-side heart failure
- Cor pulmonale
Types
Right-Sided:
- The heart cannot pump enough blood to the lungs to pick up oxygen
- Symptoms: fluid build up (edema) in the feet, ankles, legs, liver, abdomen, and the veins in the neck; shortness of breath; fatigue
Left-Sided:
- The heart cannot pump enough blood to the body
- Symptoms: shortness of breath; fatigue
Cor Pulmonale:
Right-side heart failure caused by high blood pressure in the pulmonary arteries and right ventricle (lower right heart chamber).
Causes of Heart Failure
Diseases that damage or overwork the heart:
- Arrhythmias
- Cardiomyopathy
- Congenital heart defects
- Diabetes
- Hypertension (high blood pressure)
- Ischemic heart disease
- Valve disorders/malfunctions
Risk Factors
- Age (65 years and older)
- Alcohol abuse
- Drug use
- History of a heart attack
- HIV/AIDS
- Obesity
- Race (African Americans are more likely to have the disease, show symptoms earlier, require hospitalization, and die from heart failure than other races. They are also less likely to see a cardiologist.)
- Thyroid disorders
- Treatments for cancer, such as radiation and chemotherapy
- Vitamin E overdose
Prevention
- Control blood pressure, cholesterol.
- Stay at a healthy weight.
- Eat a healthy diet.
- Get regular exercise.
- Limit alcohol.
- Don’t smoke.
- Manage stress.
- Manage diabetes.
- Make sure that you get enough sleep.
Vaccines
The CDC recommends that all adults receive:
- Seasonal flu vaccine (yearly)
- Tdap vaccine once, and then a Td (tetanus, diphtheria) booster shot every 10 years.
Heart disease can make it harder to fight off certain diseases or make it more likely to have serious complications from certain diseases. The CDC recommends people with cardiovascular disease also receive:
- Pneumococcal vaccine (protects against pneumonia)
- Zoster vaccine (protects against shingles)
COVID-19 and Heart Failure
The CDC has stated that heart failure puts individuals at a higher risk for severe illness from COVID-19 infection.
A systematic review of the recent literature has concluded that those who have contracted even acute COVID-19 are at an increased risk for heart failure up to a year after infection.
Coronavirus: What heart and stroke patients need to know (video)
Resources
- American Heart Association
- Heart Failure Tools and Resources
- Penn State – Heart and Vascular Institute
- Together in Heart Failure
Support Groups
- American Heart Association Support Network
- Bayhealth Heart Failure Support Group
- Beebe Healthcare Heart to Heart Support Group
- ChristianaCare Heart Failure Support Group
- Nanticoke Hospital Heart Failure Support Group
- Together in Heart Failure