If the patient has a normal ECG, the diagnosis of HF is unlikely. The ECG may reveal abnormalities such as AF, Q waves, LV hypertrophy (LVH), and a widened QRS complex, which increase the likelihood of HF.
A test called an echocardiogram is often the best test to diagnose your heart failure. Your doctor can also use this test to find out why you have heart failure, and then monitor your condition going forward every three to six months.
Let your provider know if you have any risk factors for heart failure. You may also be referred to a cardiologist for these tests and treatment. A cardiologist is a doctor who specializes in diagnosing and treating heart diseases.
Fast heart rate (more than 120 -150 beats per minute), especially if you are short of breath or dizzy. Shortness of breath that's not relieved by rest. Sudden weakness or paralysis (inability to move) in your arms or legs. Sudden onset of a severe headache.
Most people don't even notice the early signs of heart failure (if there are any signs at all). Plus, most symptoms of heart failure, especially when the condition becomes chronic, can be vague or feel like other health conditions—so some people can have heart failure and not even know it.
While most patients with suspected HF do not require invasive testing for diagnosis, the clinical gold standard for diagnosis of HF is identification of an elevated pulmonary capillary wedge pressure at rest or exercise on an invasive hemodynamic exercise test in a patient with symptoms of HF.
It's important to remember that one blood test alone doesn't determine the risk of heart disease. The most important risk factors for heart disease are smoking, high blood pressure, high cholesterol and diabetes. Here's a look at some of the blood tests used to diagnose and manage heart disease.
Your doctor may recommend a blood test to check for B-type natriuretic peptide, a protein that the heart secretes to keep blood pressure stable. These levels increase with heart failure.
Warning signs and symptoms of heart failure include shortness of breath, chronic coughing or wheezing, swelling, fatigue, loss of appetite, and others.
Heart failure symptoms may include: Shortness of breath with activity or when lying down. Fatigue and weakness. Swelling in the legs, ankles and feet.
Warning signs that occur a month beforehand could be chest discomfort, fatigue, and shortness of breath.
New, unexplained, and severe chest pain that comes with shortness of breath, sweating, nausea, or weakness. Fast heart rate (more than 120-150 beats per minute, or a rate noted by your doctor), especially if you are short of breath.
Severe or persistent shortness of breath. Fainting or passing out. A fast or irregular heartbeat, palpitations or a racing heart that does not go away. A need to sleep sitting up on more pillows than usual.
In men, this typically starts around age 45, and in women, around age 55.
Patients may feel a fluttering in the heart (palpitations) or a heartbeat that seems irregular or out of rhythm. This often is described as a pounding or racing sensation in the chest. Lack of Appetite or Nausea When the liver and digestive system become congested they fail to receive a normal supply of blood.
In general, about half of all people diagnosed with congestive heart failure will survive 5 years. About 30% will survive for 10 years. In patients who receive a heart transplant, about 21% of patients are alive 20 years later.
What does a congestive heart failure cough sound like? A cough due to congestive heart fluid often sounds “wet.” Healthcare professionals describe a wet cough as one that produces rales, or crackles, when they listen to it with a stethoscope. Crackles sound like rattling or popping.
Cardiac enzymes ― also known as cardiac biomarkers ― include myoglobin, troponin and creatine kinase.