Common Specialities
Common Issues
Common Treatments

Congestive Heart Failure: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Congestive heart failure abbreviated as CHF is a condition where the heart is incapable of maintaining sufficient circulation of blood in the tissues or is unable to pump out the poisonous blood that has been circulated back to it via the veins. Congestive heart failure occurs as a result of failure of both the left or right ventricle and sometimes both at the same time. The common signs and symptoms of congestive heart failure include dyspnea, tiredness, dizziness, cough, asthma, stasis and swollen limbs or other body parts or edema. People who suffer from edema tend to cough up blood.

The reasons behind congestive heart failure are coronary artery disease; heart muscle weakness that has been caused by viral infections or toxins in the body caused due to alcohol exposure for a long time; heart valve disorders; high blood pressure and hyperthyroidism. Such conditions in the course of time cause your heart to become weak. Every case of heart failure cannot be fully treated as some of these conditions tend to leave behind permanent damage, however in certain cases treatment along with a change in lifestyle can show better and improved results.

How is the treatment done?

Whether a person is suffering from congestive heart failure can be gathered by observing his/her signs and symptoms. A physical examination by the doctor is necessary- a doctor will generally try to diagnose your heart rhythm patterns in order to understand if there is anything wrong there. Certain crackling sounds may indicate the presence of fluids in the lug region. In order to clear suspicion regarding whether there is fluid or not getting a X-ray done is necessary. A x-ray is capable of detecting any abnormalities that might be present.

Congestive heart failure can be treated with proper medications or by adapting to lifestyle changes. Sometimes surgical procedures are required to rectify abnormal conditions of the heart. A heart transplant method is often considered as a last resort. Dietary changes including cutting down on the amount of salt intake is absolutely necessary. Exercise is advised to patients suffering from heart conditions.

The kind of medications that may be prescribed by the doctor for heart failure includes diuretics, digitalis, beta blockers, vasodilators and calcium channel blockers. The diuretics medications help to kick out excess salt and water content from the body through the process of frequent urination. Another method by which congestive heart failure is treated is prognosis which includes dietary changes and exercise and medications.

Who is eligible for the treatment? (When is the treatment done?)

Patients who should signs and symptoms of chronic heart diseases are all eligible to go for congestive heart failure treatment and should get themselves checked as soon as possible. Once your doctor diagnoses your medical history and does thorough physical study he/she will prescribe a set of medications or surgeries if necessary.

Who is not eligible for the treatment?

All those who suffer from a very weak heart condition or are allergic to certain medications are usually non-eligible and should consider consulting with the physician first before undergoing any kind of treatment.

Are there any side effects?

The common side effects that are seen with congestive heart failure medical treatment are as follows; beta blockers cause dizziness, tiredness and sometimes aggravation of the symptoms. ACE inhibitors cause dizziness, kidney function alterations, cough and heightened potassium levels in the body. Diuretics cause dizziness, increased need to urinate, dehydration, skin rash or redness, itchiness amd sometimes gout. Aldosterone Antagonist’s lead to kidney functioning alterations, swelling of the breasts and heightened potassium levels in the body.

What are the post-treatment guidelines?

Post-treatment guidelines of congestive heart failure include incorporating dome exercise in your daily routine. Keep your mind and body relaxed and also use techniques that would further relax you. Restrict the alcohol intake as that has chemical and sometimes really reactions with your prescribed drugs. Remember to take your medications on time and in case if you miss a dose consult with your health care provider about the next course of action. Keep track of all your follow-up appointments.

How long does it take to recover?

The time to recover from a surgery takes about two to eight weeks and the time to stabilise the patients deteriorating heart condition can take about six to seven months.

What is the price of the treatment in India?

Information not available

Are the results of the treatment permanent?

In some cases treatment results for congestive heart failure can be permanent provided the patients adhere strictly to the post-treatment guidelines. In other cases heart failures or attacks that has happened over a considerable period of time causes lifelong injuries that may not respond to treatment.

What are the alternatives to the treatment?

Certain alternatives to the medical treatment of congestive heart failure include natural therapies such as consuming CoQ10 supplements, Hawthorne Berry (it is rumoured to better the hearts metabolism), foundation supplements, Vitamin B1 supplements and carnitine which is like a vitamin supplement that has the tendency to stimulate fat breakdown.

Safety: Medium Effectiveness: Medium Timeliness: Medium Relative Risk: High Side Effects: Low Time For Recovery: Medium Price Range: Information not available

Popular Health Tips

What To Do When Your Kid Is Suffering From Congenital Heart Disease?

MBBS, MD - General Medicine, DM - Cardiology
Cardiologist, Delhi
What To Do When Your Kid Is Suffering From Congenital Heart Disease?

Most families refer to their newborn baby as their 'bundle of joy'. The news of a child being born brings immense joy to the entire family. However, due to various reasons, a child could be born with some medical abnormalities, which would be known as congenital abnormalities. There are several different types of heart defects that can be congenital. These usually manifest themselves either immediately after birth or in the early years of life. In some cases, the abnormality could be detected on prenatal ultrasounds. In others, it may not be and the family could be caught off guard about the condition. This causes a lot of stress, both for the child, who does not receive regular postnatal care and for the parents immediately after the delivery process.

If the baby has the following symptoms within the first few hours of life, there could be a serious underlying condition, which requires medical attention. The presence and severity of the symptoms would depend on the actual abnormality.

  1. The skin is pale gray or blue in color due to excessive venous flow in the system
  2. Excessive sweating
  3. The child is exerting to breathe regularly
  4. Rapid breathing causes added load on the heart accompanied by a grunting noise
  5. Flared nostrils i.e. the baby attempts to take in more oxygen with each breath causes flared nostrils
  6. Swollen legs, eyes, and abdomen: Fluid retention in the legs and abdomen is quite common, and this could be characteristic of newborns with congenital heart disease
  7. Shortness of breath, even during feeding
  8. Clubbed fingernails
  9. Lethargy and low energy, even with feeding, therefore very poor feeding pattern
  10. Chest pain, which may cause the newborn to cry incessantly
  11. Low weight gain, as they feed less

In some children, symptoms manifest only during the teenage years or early adulthood. These conditions are not very severe and the symptoms include:

  1. Swelling of the hands, feet, and ankles due to fluid accumulation
  2. Lowered energy levels, leading to easy fatigue
  3. Shortness of breath with even minimal physical activity
  4. Inability to exercise
  5. Developmental delays and changes in growth milestones
  6. Recurrent respiratory tract infections including sinus infections, bronchitis, and pneumonia
  7. Endocarditis
  8. Pulmonary hypertension
  9. Heart failure, where the heart is not able to effectively function and pump blood to all parts of the body.

Some or more of these symptoms should trigger a warning to get the child tested for congenital heart disease. While some would just require a monitoring until severe symptoms develop, severe conditions like holes, abnormal valves, narrowed arteries, and blood vessel abnormalities might require immediate intervention.

1758 people found this helpful

Consult a Doctor Before Taking Any Medicines

MD Physician
General Physician, Delhi
Consult a Doctor Before Taking Any Medicines

Do not take medicines for heart disease or high blood pressure without talking to a doctor. This could be dangerous.

Popular Questions & Answers

Sir I have Congestive heart failure with DM type 2 with mitral stenosis with hypertension. My age is 60. What precaution for diet should I take.

M. B. B. S. M. S,. M. Ch.FRCS
Cardiologist, Chennai
Did you ever consult a cardiologist? well, you should. You will benefit from balloon valvotomy. Or even surgery. Meanwhile low salt less than 2grams/ day. Control of diabetes. Avoid sugar and oily food. Avoid bananas mangoes rich in sugar. Papaya is good for you. Olive oil fw cooking. Walking exercise. Sugare free bed.
1 person found this helpful

Sir what are the symptoms for heart failure. How can we identify. How to cure that disease. Why and how do we get.

PGD In Ultraasonography, Non Invasive Cardiology Course, MD - Medicine, MBBS
General Physician, Narnaul
Heart failure does not mean the heart has stopped working. Rather, it means that the heart's pumping power is weaker than normal. With heart failure, blood moves through the heart and body at a slower rate, and pressure in the heart increases. As a result, the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart may respond by stretching to hold more blood to pump through the body or by becoming stiff and thickened. This helps to keep the blood moving, but the heart muscle walls may eventually weaken and become unable to pump as efficiently. As a result, the kidneys may respond by causing the body to retain fluid (water) and salt. If fluid builds up in the arms, legs, ankles, feet, lungs, or other organs, the body becomes congested, and congestive heart failure is the term used to describe the condition. What Causes Heart Failure? Heart failure is caused by many conditions that damage the heart muscle, including: Coronary artery disease. Coronary artery disease (CAD), a disease of the arteries that supply blood and oxygen to the heart, causes decreased blood flow to the heart muscle. If the arteries become blocked or severely narrowed, the heart becomes starved for oxygen and nutrients. Heart attack. A heart attack occurs when a coronary artery becomes suddenly blocked, stopping the flow of blood to the heart muscle. A heart attack damages the heart muscle, resulting in a scarred area that does not function properly. Cardiomyopathy. Damage to the heart muscle from causes other than artery or blood flow problems, such as from infections or alcohol or drug abuse. Conditions that overwork the heart. Conditions including high blood pressure, valve disease, thyroid disease, kidney disease, diabetes, or heart defects present at birth can all cause heart failure. In addition, heart failure can occur when several diseases or conditions are present at once. You may not have any symptoms of heart failure, or the symptoms may be mild to severe. Symptoms can be constant or can come and go. The symptoms can include: Congested lungs. Fluid backup in the lungs can cause shortness of breath with exercise or difficulty breathing at rest or when lying flat in bed. Lung congestion can also cause a dry, hacking cough or wheezing. Fluid and water retention. Less blood to your kidneys causes fluid and water retention, resulting in swollen ankles, legs, abdomen (called edema), and weight gain. Symptoms may cause an increased need to urinate during the night. Bloating in your stomach may cause a loss of appetite or nausea. Dizziness, fatigue, and weakness. Less blood to your major organs and muscles makes you feel tired and weak. Less blood to the brain can cause dizziness or confusion. Rapid or irregular heartbeats. The heart beats faster to pump enough blood to the body. This can cause a rapid or irregular heartbeat. If you have heart failure, you may have one or all of these symptoms or you may have none of them. They may or may not indicate a weakened heart. Tests to determine the cause and severity of your heart failure. These include: Blood tests. Blood tests are used to evaluate kidney and thyroid function as well as to check cholesterol levels and the presence of anemia. Anemia is a blood condition that occurs when there is not enough hemoglobin (the substance in red blood cells that enables the blood to transport oxygen through the body) in a person's blood. B-type Natriuretic Peptide (BNP) blood test. BNP is a substance secreted from the heart in response to changes in blood pressure that occur when heart failure develops or worsens. BNP blood levels increase when heart failure symptoms worsen, and decrease when the heart failure condition is stable. The BNP level in a person with heart failure -- even someone whose condition is stable -- is higher than in a person with normal heart function. BNP levels do not necessarily correlate with the severity of heart failure. Chest X-ray. A chest X-ray shows the size of your heart and whether there is fluid build-up around the heart and lungs. Echocardiogram. This test is an ultrasound which shows the heart's movement, structure, and function. The Ejection Fraction (EF) is used to measure how well your heart pumps with each beat to determine if systolic dysfunction or heart failure with preserved left ventricular function is present. Your doctor can discuss which condition is present in your heart. Electrocardiogram (EKG or ECG. An EKG records the electrical impulses traveling through the heart. Cardiac catheterization. This invasive procedure helps determine whether coronary artery disease is a cause of congestive heart failure. Stress Test. Noninvasive stress tests provide information about the likelihood of coronary artery disease. Other tests may be ordered, depending on your condition.
28 people found this helpful

Hi, What is Heart Failure with Normal Ejection Fraction? How is it diagnosed? Is it different from Diastolic Heart Failure?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Nearly half of patients with symptoms of heart failure are found to have a normal left ventricular (LV) ejection fraction. This has variously been labelled as diastolic heart failure, heart failure with preserved LV function or heart failure with a normal ejection fraction (HFNEF) . Preserved ejection fraction (HFpEF) – also referred to as diastolic heart failure. The heart muscle contracts normally but the ventricles do not relax as they should during ventricular filling (or when the ventricles relax). Reduced ejection fraction (HFrEF) – also referred to as systolic heart failure
1 person found this helpful


Homeopath, Noida
You may take following homoeopathic medicines Rx- 1- viscum alb. Q 10 drops with 5 ml of normal water twice daily 2- creatagus ox. Q 15 drops with 5 ml of leukworm water thrice daily.

Can heart beat near 90-95 on resting position cause heart failure or heart attack?

DHMS (Hons.)
Homeopath, Patna
Hello heart palpitation rate might count from 50 to 100 owing so many reasons. It does not indicate fatal to heart rather it needs thorough investigation, of course. Tk, care.
4 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Know More About Heart Failure
Treatments available for Heart Diseases
Play video
Heart Failure
Heart failure is a condition in which the heart does not pump well. This causes the heart to lag behind in its job of moving blood throughout the body. As a result, fluid backs up in the body, and the organs in the body do not get as much blood as they need.
Play video
What are the difference between Cardiac Arrest, Heart Failure and Heart Attack
I am Dr. Nishith Chandra, Director, Interventional Cardiologist at Fortis Escorts Heart Institute, New Delhi, India. I am at this institute from last 22 years. Today I will discuss about the differences between cardiac arrest, heart failure and heart attack. Are these heart failure, heart attack, heart and cardiac arrest, they are same thing? No they are not the same thing. They denote totally different meanings. So what do you we mean by heart failure.

Heart failure means that heart is failing in its duty to pump enough blood. Heart is still beating, heart has not stopped, heart is beating. Then how do a person recognize heart failure. The most common symptom of heart failure is breathlessness, intense weakness and sometimes just spin. So this is heart failure. Heart does not stop during heart failure. Heart continues to beat but weak beating inefficiently.

Then the second term comes which is heart attack. What is heart attack? Heart attack is when the there is a blockage of one of the three arteries of the coronary arteries of the heart, then the person gets a heart attack and this is recognized by severe chest pain, severe excruciating chest pain which may or may not be complete with sweating, breathlessness, intense weakness or sense feeling of impending doom. So this is called heart attack. This is different from heart failure.

What is cardiac arrest? Cardiac arrest means when the heart suddenly stops. In both heart failure and heart attack, the heart continues to beat, but only in cardiac arrest the heart count stop suddenly. So this is the most dangerous of the all three situations so when the cardiac arrest occurs the person loses its consciousness because there is no blood supply to the brain and we have to resistant the person immediately.

What you can do at that time if you find somebody collapsing? Immediately start CPR, what we call cardio pulmonary resuscitation. For learning CPR you may contact us at Fortis Escorts Heart Institute or you can join your consult your nearest heart hospital. So if you learn, if you have learned CPR then you can revive the patient from cardiac arrest.

So now you have learned that these three terms cardiac arrest is different, cardiac heart failure is different and heart attack are different and these should be treated separately.

So if you need to consult me you can consult me either through or you can meet me personally at Fortis Escorts Heart Institute, New Delhi which is there in Okhla or at my personal clinic at sector 93 A, Expressway Noida.
Play video
Acute Kidney (Renal) Failure
Good morning!

I m Dr. Sunil Prakash. I m director and head of nephrology of renal transplant services at BLK super specialty hospital, New Delhi.

Today I would like to share with you some newer things that are happening on nephrology. You all know that if somebody has a kidney failure they will eventually land up on dialysis. Dialysis is of 2 types: peritoneal dialysis which is done at home by person themselves or your relatives. It is also called colo-colic or water dialysis. Another is blood dialysis. This can also be done at home which is called home hemodialysis and there are simple machines which are available and there are people who can be trained who can come at home and do dialysis for such patients. Or these patients come to hospitals or dialysis centers for regular dialysis. Dialysis is normally give it to 2-3 times a week. Itis certainly a cumbersome procedure and it is also costing money. But at the end of the day the decision is either dialysis or death. So if somebody reaches the end stage kidney disease then he/she will require dialysis. The other option is to go for kidney transplant. The biggest problem of kidney transplant is how to get donors? How to get kidneys? Now friends everybody has 2kidneys. And if somebody is healthy and he doesn t have diabetes, blood pressure or stone in the kidney and he is leading a good healthy life then by doing some test it can be found that person may be able to live on one kidney. So if we are certain that a donor if he can give one kidney to its relative to make him rehabilitate then he can live on one kidney and the recipient or the patient who gets the kidney will live on another kidney. This is called life-related donor program. This is a legal program. Now what is not legal? What is totally illegal is when somebody tries to buy kidneys for poor people by force or money or greed or whatever. This is illegal act and it is punishable by law. Another thing in transplant which we must encourage and our country is lacking very badly is deceased donor transplant. What is deceased donor transplant? It means unfortunately if somebody gets an accident. Young person leaves his house on bike or going for a job or something meets with the accident sometimes if the brain is irreversibly damaged but the organs like heart kidney and liver are functioning well these are called brain death patients. They are basically cadavers. Cadavers means death although technically, legally they are living at that point of time because there heart is beating but if somebody s brain is death then that person ceases to be that person. And certainly within a day the all organs will also stop functioning because their master is gone the command center is gone. And all the organs of the body requires impulses from brain to survive. So now in such a situation a person s heart is beating but it is certain to die in next 6-8-10 or maximum24 hours. So in this interim the organs of the patients are taken out and give it to people who are waiting on the organ list to be able to get these organs and get rehabilitated. In Spain the rate of donation is 50/million. In India it is 0.5/million. So we can very well imagine that how much organ shortage we are having and Indians or top of it have more proclivity of having kidney diseases and end stage kidney stages. So we badly needs these kidneys. So I request to all my listeners that let us join hands, let us do more social work, advertise and tell people that unfortunately if somebody has got brain damage then he/she is about to die then they must pledge their organs to people who are waiting below. Nothing can be better than this act of altruism and donation. Friends let us not take our organs to heaven because heaven knows that we need these organs here. Thank you for your time. I m available at BLK super specialty hospital. For any issues, consulting dialysis refers to blood pressure and transplantation center.

Thank you! Again.
Play video
Heart Diseases
Me, Dr. Manish Mittal, Cardiologist at Sarvodaya Hospital and Heart Center at Ghaziabad. Also practicing at my clinic: Dr. Mittal's Echo Medical Center at Patel Nagar, Ghaziabad. Today I will talk about heart diseases. Most commonly the coronary artery heart disease. It is the biggest cause of death. Coronary artery heart disease is due to the blockage of vessels supplying blood to the heart. Due to this heart cannot get the proper blood supply that leads to the symptoms in the form of chest pain, dyspnea on exertion.

And when these vessels are completely blocked, the patient has the acute heart attack. These patients can land up in a lot many complications like heart failure, sudden cardiac arrest. So, it is very important from the patient perspective to identify these symptoms. Go for the emergency medical attention. To diagnose, ECG is very important. Necessary tests are mandatory to initiate the medical management. The most important investigation is electrocardiogram.

In case of acute heart attack, patient should be admitted in the emergency of the hospital under a cardiologist and initial treatment should be started as soon as possible. The main treatment is to open the blood vessels as early as possible. The early we initiate the treatment, the better is the prognosis. The main treatment in these cases is either from thrombosis or angioplasty. Besides that, the patient is started with the other medications.

Like anti-platelet drugs and other specific cardiac maintenance to cut down the complications associated with the heart attack. In those cases, who are not the case of a heart attack but they feel chest pain or breathlessness, so these are the cases of chronic stable angina who have the problem of blockage in their blood vessels which are unable to meet the supply of the heart muscles. So, they feel symptoms during the increased workload in the form of exercises, climbing stairs.

So, in these cases, they should contact a cardiologist who can recognize their symptoms and can do ECG, echo stress test and if required coronary angiography to understand the underlying coronary problems. And advice the patient either for the medical management, angioplasty or bypass surgery. Besides, the coronary artery heart diseases, other diseases that we encounter in our day to day practice is the patient with heart failure i.e. the weakness of heart muscles. Patient with the disease where blood vessels supply blood to the systemic circulation or pulmonary circulation.

So, these have to be diagnosed as per their symptoms and clinical findings. In last, I would say, if you feel any of these symptoms like chest pain, breathlessness, fatigue, weakness, swelling of the legs, dizziness, loss of consciousness, consult your cardiologist for the proper evaluation of the symptoms. So, that he/she can diagnose the underlying conditions as early as possible and advise you for the further management. In last, I would like to say, if you want to consult me directly by coming to my clinic or the hospital or via Lybrate.
Having issues? Consult a doctor for medical advice