Heart failure can involve the left side (left ventricle), right side (right ventricle) or both sides of your heart. Generally, heart failure begins with the left side, specifically the left ventricle — your heart's main pumping chamber.
Type of heart failure - Description
Left-sided heart failure - Fluid may back up in your lungs, causing shortness of breath.
Right-sided heart failure - Fluid may back up into your abdomen, legs, and feet, causing swelling.
Systolic heart failure - The left ventricle can't contract vigorously, indicating a pumping problem.
Diastolic heart failure (also called heart failure with preserved ejection fraction) - The left ventricle can't relax or fill fully, indicating a filling problem.
Any of the following conditions can damage or weaken your heart and can cause heart failure. Some of these can be present without your knowing it:
- Coronary artery disease and heart attack - Coronary artery disease is the most common form of heart disease and the most common cause of heart failure. Over time, arteries that supply blood to your heart muscle narrow from a buildup of fatty deposits — a process called atherosclerosis. The buildup of plaques can cause reduced blood flow to your heart. A heart attack occurs if plaques formed by the fatty deposits in your arteries rupture. This causes a blood clot to form, which may block blood flow to an area of the heart muscle, weakening the heart's pumping ability and often leaving permanent damage. If the damage is significant, it can lead to a weakened heart muscle.
- High blood pressure (hypertension) - Blood pressure is the force of blood pumped by your heart through your arteries. If your blood pressure is high, your heart has to work harder than it should to circulate blood throughout your body. Over time, the heart muscle may become thicker to compensate for the extra work it must perform. Eventually, your heart muscle may become either too stiff or too weak to effectively pump blood.
- Faulty heart valves - The valves of your heart keep blood flowing in the proper direction through the heart. A damaged valve — due to a heart defect, coronary artery disease or heart infection — forces your heart to work harder to keep blood flowing as it should. Over time, this extra work can weaken your heart. Faulty heart valves, however, can be fixed or replaced if found in time.
- Damage to the heart muscle (cardiomyopathy) - Heart muscle damage (cardiomyopathy) can have many causes, including several diseases, infections, alcohol abuse and the toxic effect of drugs, such as cocaine or some drugs used for chemotherapy.
- Myocarditis - Myocarditis is an inflammation of the heart muscle. It's most commonly caused by a virus and can lead to left-sided heart failure.
- Heart defects you're born with (congenital heart defects) - If your heart and its chambers or valves haven't formed correctly, the healthy parts of your heart have to work harder to pump blood through your heart, which, in turn, may lead to heart failure.
- Abnormal heart rhythms (heart arrhythmias) - Abnormal heart rhythms may cause your heart to beat too fast, which creates extra work for your heart. Over time, your heart may weaken, leading to heart failure. A slow heartbeat may prevent your heart from getting enough blood out to the body and may also lead to heart failure.
Other diseases - Chronic diseases — such as diabetes, HIV, hyperthyroidism, hypothyroidism, or a buildup of iron (hemochromatosis) or protein (amyloidosis) —also may contribute to heart failure.
Causes of acute heart failure include viruses that attack the heart muscle, severe infections, allergic reactions, blood clots in the lungs, the use of certain medications or any illness that affects the whole body.
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
- a persistent cough or wheezing with white or pink blood-tinged phlegm
- increased need to urinate at night
- swelling of your abdomen (ascites)
- sudden 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
Risk factors - A single risk factor may be enough to cause heart failure, but a combination of factors also increases your risk.
Risk factors include:
- High blood pressure - Your heart works harder than it has to if your blood pressure is high.
- Coronary artery disease - Narrowed arteries may limit your heart's supply of oxygen-rich blood, resulting in weakened heart muscle.
- Heart attack - Damage to your heart muscle from a heart attack may mean your heart can no longer pump as well as it should.
- Diabetes - Having diabetes increases your risk of high blood pressure and coronary artery disease. Some diabetes medications. The diabetes drugs rosiglitazone (Avandia) and pioglitazone (Actos) have been found to increase the risk of heart failure in some people. Don't stop taking these medications on your own, though. If you're taking them, discuss with your doctor whether you need to make any changes.
- Certain medications - Some medications may lead to heart failure or heart problems. Medications that may increase the risk of heart problems include nonsteroidal anti-inflammatory drugs (NSAIDs); certain anesthesia medications; some antiarrhythmic medications; certain medications used to treat high blood pressure, cancer, blood conditions, neurological conditions, psychiatric conditions, lung conditions, urological conditions, inflammatory conditions and infections; and other prescription and over-the-counter medications. Don't stop taking any medications on your own. If you have questions about medications you're taking, discuss with your doctor whether he or she recommends any changes.
- Sleep apnea - The inability to breathe properly while you sleep at night results in low blood oxygen levels and increased risk of abnormal heart rhythms. Both of these problems can weaken the heart.
- Congenital heart defects - Some people who develop heart failure were born with structural heart defects.
- Valvular heart disease - People with valvular heart disease have a higher risk of heart failure.
- Viruses - A viral infection may have damaged your heart muscle.
- Alcohol use - Drinking too much alcohol can weaken the heart muscle and lead to heart failure.
- Tobacco use - Using tobacco can increase your risk of heart failure.
- Obesity - People who are obese have a higher risk of developing heart failure.
- Irregular heartbeats - These abnormal rhythms, especially if they are very frequent and fast, can weaken the heart muscle and cause heart failure.
Complications - If you have heart failure, your outlook depends on the cause and the severity, your overall health, and other factors such as your age. Complications can include:
- Kidney damage or failure - Heart failure can reduce the blood flow to your kidneys, which can eventually cause kidney failure if left untreated. Kidney damage from heart failure can require dialysis for treatment.
- Heart valve problems -The valves of your heart, which keep blood flowing in the proper direction through your heart, may not function properly if your heart is enlarged or if the pressure in your heart is very high due to heart failure.
- Heart rhythm problems - Heart rhythm problems (arrhythmias) can be a potential complication of heart failure.
- Liver damage - Heart failure can lead to a buildup of fluid that puts too much pressure on the liver. This fluid backup can lead to scarring, which makes it more difficult for your liver to function properly.
Homeopathy today is a rapidly growing system and is being practiced all over the world. Its strength lies in its evident effectiveness as it takes a holistic approach towards the sick individual through the promotion of inner balance at mental, emotional, spiritual and physical levels. When heart failure is concerned there are many effective medicines are available in homeopathy, but the selection depends upon the individuality of the patient, considering the mental and physical symptoms.
- Aurum metallicum 30 - Heart failure after valvular lesions. Hear feels loose on walking. Sensations as if heart stopped beating for two or three seconds, immediately followed by tumultuous rebound with sinking at the epigastrium. Oppression at the heart. Pulse rapid, feeble and irregular. Blood pressure high.
- Digitalis purpurea 3x - Digitalis is an excellent remedy for heart failure with the irregular heartbeat. Sensation as if heart would stop beating if moved, must hold the breath and keep still. Pulse full, irregular, very slow and weak, intermitting every third, fifth, or seventh beat. Weak heart. The least movement causes violent palpitations. Frequent stitches in the heart.
- Strophanthus his. Q - Strophanthus is best for heart failure with edema of legs. Heart’s action weak, rapid, irregular, due to muscular debility and insufficiency. Pulse rapid, alternating with slow, weak, small irregular.
- Laurocerasus 30 - Laurocerasus is best for heart failure with pain in the region of the heart. There is clutching at heart and palpitations. Pulse weak, variable, slow or irregular. Urine, retained, suppressed involuntary with palpitations and suffocations and fainting.
- Crataegus oxy. Q - Crataegus is considered a heart tonic. Heart muscles seem flabby, worn out. Heart weakness with oppression, stitches, and insomnia. Extreme dyspnea on least exertion without much increase of pulse. Heart dilated, first sound weak. Incompetent valves, valvular murmurs.
- Cardus marianus q - Cardus marianus is effective for heart failure with liver complaints. Pain pressure and stitches in the region of the heart, oppression of deep breathing.
- Naja tripudians 30 - Naja is best for heart failure with weakness and valvular disorders. Visible palpitations. Damaged heart after infectious diseases.
- Nux vomica 30 - Nux vomica is an excellent remedy for heart failure seen in alcoholics. Hear feels tired, palpitation on lying down. Usually constipated with ineffectual desire.