• difficulty breathing while walking
• weakness and fatigue
• confusion and difficulty concentrating
• shortness of breath while awake or when lying in a reclined position
• swollen legs, ankles, or abdomen
• unexpected weight gain over days or weeks
• coughing up pink or blood-tinged mucus

While there is no cure, the progression of the disease can be slowed and survival rates improved by a combination of lifestyle changes and drug therapy.

• A balance between rest and activity is important. During rest periods, move legs and flex muscles to stimulate blood flow and reduce the risk of blood clots. 
• Physical activity is usually recommended, but should not lead to exhaustion or cause chest pains, shortness of breath, or lightheadedness. Exercise in the cool of the day, and always before meals, not after.
• Reduce salt intake, which can raise blood pressure and cause the body to retain more fluid. 
• Monitor weight (any sudden increase should be reported to your doctor).
• Take medications exactly as prescribed. Misuse can cause serious complications.

Drug therapies for heart failure

• Diuretics rid body of excess water (side effects include frequent urination, loss of potassium).
• Digitalis slows heart rate and increases pumping action (but may cause irregular heartbeat).
• ACE Inhibitors open and relax arteries, which decreases pressure on heart (but may lower blood pressure too much).

Because of the accompanying side effects of drug treatment, patients must follow directions carefully and report symptoms to their doctor.

Heart Health for Heart Failure Class

To help individuals with HF and their caregivers cope with this condition, we offer a free ninety-minute class each month. Topics to be discussed will vary and may include guest speakers. 

A variety of topics will be discussed including: 

• heart anatomy and function
• heart failure signs and symptoms
• importance of weight control
• medications
• diet
• exercise
• complications
• treatment principles
• psychological support