Nurse

Julie Millican, RN

When someone says they have heart failure it usually means they have been diagnosed with congestive heart failure CHF) .  This does not mean the heart has stopped working but means the heart’s pumping action has weakened.  The heart muscle itself becomes weak and unable to pump enough oxygen and nutrients to meet the body’s needs.  The heart tries to compensate by stretching to hold more blood or by becoming more stiff and thickened.  Eventually without treatment , fluid builds up in the legs, lungs and other organs and this is referred to as congestive heart failure.  In fact, symptoms of congestive heart failure are shortness of breath and swelling (edema) in the extremities.

CHF is caused by many factors, including coronary artery disease, a heart attack, high blood pressure, diabetes, kidney disease and other heart related problems.  The doctor will order tests to determine how well the heart pumps out blood with each beat and the percentage of blood the heart pumps out with each beat.  Further studies such as an echocardiogram or heart ultrasound can help determine the type of heart failure and how to treat it.

There are different stages of heart failure developed by the American Heart Association and American College of Cardiology. Treatment depends on the stage of heart failure after your physician reviews all the data.  Usually treatment involves a plan which includes exercise, no smoking, salt restriction, treatment of high blood pressure, treating high cholesterol and taking specific cardiac medications which may include beta blockers and diuretics.
   
Though CHF involves lifestyle changes, patients can work with their doctor to maintain a productive life and prevent further complications.

          Come, let us walk in the light of the Lord!  Isaiah 2:5