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Symptoms of Congestive Heart or Cardiac Failure


Symptoms of Congestive Heart or Cardiac Failure

Fatigue is one of the earliest symptoms of congestive heart failure. It is a non specific feature and can signify a number of other conditions.

The symptoms of congestive heart failure are variable and depend upon the condition of the individual, the organ system affected due to the heart’s disability.

  • Fatigue is one of the earliest symptoms of congestive heart failure. It is a non specific feature and can signify a number of other conditions.
  • Swelling (oedema) of the ankles and legs or abdomen: Congestive heart failure leads to fluid overload in the body. This is actually due to failure of the right heart. Right heart failure may be due to a long standing left heart failure or severe lung diseases (such as cor pulmonale). Less commonly intrinsic disease of the right heart can also cause this.
  • An increase in body weight is one of the earliest signs of fluid accumulation
  • Shortness of breath: Fluid accumulation in the lung lead to shortness of breath when the patient lies flat. Sometimes they awaken at night, gasping for air. (Orthopnoea and Paroxysmal Nocturnal Dyspnoea respectively)
  • Some patients can’t sleep unless sitting upright.
  • Increased urination: especially at night
  • When the intestines or liver get affected, features like nausea, abdominal pain, and decreased appetite walk in.
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