Often, the swelling is more noticeable in the ankles or on the lower leg in the front where the bone, the tibia, is close to the skin.
The main sign of right-sided heart failure is fluid buildup. This buildup leads to swelling (edema) in your: Feet, ankles and legs.
Edema (persistent swelling) of the feet, ankles and legs is the most common symptom of heart failure in the right side of the heart. Edema also can occur in the fingers, abdomen and abdominal organs. Sudden weight gain resulting from swelling is common.
Swelling (edema) in your lower legs is another sign of a heart problem. When your heart doesn't work as well, blood flow slows and backs up in the veins in your legs. This causes fluid to build up in your tissues. You may also have swelling in your stomach or notice some weight gain.
Heart failure usually begins with the lower left heart chamber, called the left ventricle. This is the heart's main pumping chamber. But heart failure also can affect the right side. The lower right heart chamber is called the right ventricle.
Warning signs and symptoms of heart failure include shortness of breath, chronic coughing or wheezing, swelling, fatigue, loss of appetite, and others.
Leg swelling
People with heart failure have a tendency to retain fluid. This appears as swollen ankles and legs because of excess fluid building up. You may notice that your shoes don't fit and socks appear tight or leave a prominent indent above the ankle.
Swelling: When heart failure happens, it can make fluid build-up in the body, causing feet and ankles to swell. This can also happen in other body parts, leading to rapid weight gain. Numbness and Pain: When these symptoms occur in the feet it can be an indication of peripheral artery disease.
Experiencing one leg swelling can often be caused by a blood clot located in a deep vein, also known as deep vein thrombosis (DVT). Other common causes of a swollen shin or calf include trauma from an injury that can lead to bruises, fractures, or sprains.
Sudden swelling in one leg with pain in the calf muscle can be due to a blood clot in one of the leg veins. DVT requires medical help right away. Problems with the system in the body that clears extra fluid from tissues.
Leg swelling can result either from fluid buildup (fluid retention) or from inflammation in injured or diseased tissues or joints. Many of the causes of leg swelling, such as an injury or prolonged standing or sitting, are common, easily identified and no reason for concern.
In most cases, the swelling will be in just one foot. Venous insufficiency: In this condition, the veins in the legs do not function properly, potentially leading to a buildup of blood in the feet. Lymphedema: Lymphedema occurs when damage to the lymph system leads to the accumulation of fluids.
You may have trouble breathing, an irregular heartbeat, swollen legs, neck veins that stick out, and sounds from fluid built up in your lungs. Your doctor will check for these and other signs of heart failure. A test called an echocardiogram is often the best test to diagnose your heart failure.
See a GP if:
1 or both of your ankles, foot or legs are swollen and: it has not improved after treating it at home for a few days. it gets worse.
Stage I is considered “pre-heart failure.” High-risk individuals include patients with high blood pressure, diabetes, hypertension, metabolic syndrome, and coronary artery disease. A family history of alcohol abuse, rheumatic fever, cardiotoxic drug therapy, or cardiomyopathy can increase your risk.
When to Call 9-1-1. In some women, the first signs and symptoms of heart disease can be: Heart attack: Chest pain or discomfort, upper back or neck pain, indigestion, heartburn, nausea or vomiting, extreme fatigue, dizziness, and shortness of breath. Fluttering feelings in the chest (palpitations)
However, life expectancy for a person with CHF has substantially improved over time. A person's age at diagnosis may impact prognosis. The authors report that the 5-year survival rate for people under 65 years of age was around 79%, while the rate was about 50% for those 75 and over.
The progress of heart failure is unpredictable and different for each person. In many cases, the symptoms remain at a stable level for quite some time (months or years) before becoming worse. In some cases the severity and symptoms become gradually worse over time.