Heart Failure Home A-Z Health Information Health Library A-Z Heart Failure What is heart failure? It is a condition where the heart cannot not pump enough to move the blood forwards or it has trouble receiving bloodSo, some parts of your body may not get enough blood and oxygenHeart failure is a chronic problem. But it can be managed with medications to help improve symptoms What does ‘heart working as a pump’ mean? The heart has four chambers: two on its right side and two on its leftThe right side of the heart receives blood from the whole body. This blood has a low oxygen and high carbon dioxide levelsThe right side of the heart pumps this blood into the lungs for getting more oxygen and getting rid of excessive carbon dioxideThe purified blood comes to the left side of the heart and gets distributed in the whole bodyThis repeated pumping process is responsible for keeping us alive What causes heart failure? High blood pressureHeart problemsValve defectsRhythm disorderHeart muscle defectsOther disorders of the heartCoronary heart diseasesLung problemPoor blood supply to the lungsLung diseases like asthma, bronchitis, obstructed airwaysHigh blood pressure in the lungsLifestyleFailure to take preventive medicationDiet (excessive salt and fluid intake)Alcohol and drug misuseSmokingOther medical conditionsAnaemiaKidney diseasesDiabetesObesityThyroid What are the symptoms of heart failure? Breathlessness, tiredness, and swelling in certain parts of your body, like the feet, legs, arms and stomachOther less common symptoms include stomach fullness, nausea, vomiting, dizziness, confusion and blacking-out/faintingThese symptoms can occur during activity or rest or even sleep What is ejection fraction? Ejection fraction (EF) is a measure of the blood that the left side of the heart pumps out with each beatA normal EF is between 55% and 70% Why should heart failure be treated? If left untreated, heart failure gets worse and the symptoms will also get worse, requiring hospital admission for IV medicationsEventually, it will make your daily activities (like dressing and bathing) more difficultIt may also make you too tired to do things like spending time with friends and familySo, treatment is necessary to help you feel better and help keep your condition from getting worse What are the common investigations needed? Complete clinical history and clinical examinationECG, echocardiography and certain blood tests