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You don't have to face HF aloneThe term “heart failure” makes it sound like the heart is no longer working at all and there’s nothing that can be done. Actually, heart failure means that the heart isn’t pumping as well as it should be. Congestive heart failure is a type of heart failure that requires seeking timely medical attention, although sometimes the two terms are used interchangeably. Your body depends on the heart’s pumping action to deliver oxygen- and nutrient-rich blood to the body’s cells. When the cells are nourished properly, the body can function normally. With heart failure, the weakened heart can’t supply the cells with enough blood. This results in fatigue and shortness of breath and some people have coughing. Everyday activities such as walking, climbing stairs or carrying groceries can become very difficult. Heart failure is a term used to describe a heart that cannot keep up with its workload. The body may not get the oxygen it needs. Heart failure is a serious condition, and usually there’s no cure. But many people with heart failure lead a full, enjoyable life when the condition is managed with heart failure medications and healthy lifestyle changes. It’s also helpful to have the support of family and friends who understand your condition. How the normal heart worksThe normal healthy heart is a strong, muscular pump a little larger than a fist. It pumps blood continuously through the circulatory system. Watch an animation of blood flow through the heart. The heart has four chambers, two on the right and two on the left:
The right atrium takes in oxygen-depleted blood from the rest of the body and sends it through the right ventricle where the blood becomes oxygenated in the lungs. Oxygen-rich blood travels from the lungs to the left atrium, then on to the left ventricle, which pumps it to the rest of the body. The heart pumps blood to the lungs and to all the body’s tissues through a sequence of highly organized contractions of the four chambers. For the heart to function properly, the four chambers must beat in an organized way. What is heart failure?Heart failure is a chronic, progressive condition in which the heart muscle is unable to pump enough blood to meet the body’s needs for blood and oxygen. Basically, the heart can’t keep up with its workload. Watch an animation of heart failure. At first the heart tries to make up for this by:
The body also tries to compensate in other ways:
These temporary measures mask the problem of heart failure, but they don’t solve it. Heart failure continues and worsens until these compensating processes no longer work. Eventually the heart and body just can’t keep up, and the person experiences the fatigue, breathing problems or other symptoms that usually prompt a trip to the doctor. The body’s compensation mechanisms help explain why some people may not become aware of their condition until years after their heart begins its decline. (It's also a good reason to have a regular checkup with your doctor.) Heart failure can involve the heart’s left side, right side or both sides. However, it usually affects the left side first. Written by American Heart Association editorial staff and reviewed by science and medicine advisers. See our editorial policies and staff. What is a heart attack?A heart attack is also called a myocardial infarction (MI). It happens when one or more parts of the heart muscle don’t get enough oxygen. That occurs when blood flow to the heart muscle is blocked. If the blood and oxygen supply is cut off, muscle cells of the heart begin to suffer damage and start to die (infarct). Permanent) damage begins within 30 minutes of blockage. The heart muscle may then no longer work as it should. What causes a heart attack?A blockage in the coronary arteries that supply blood to the heart muscle can lead to a heart attack. A blockage is caused by a buildup of plaque. This is called atherosclerosis. Plaque is made up of deposits, cholesterol, and other substances. When a plaque breaks (ruptures), a blood clot quickly forms. The blood clot is the actual cause of the heart attack. Who is at risk for a heart attack?A heart attack can happen to anyone. But certain factors can raise your risk for one. Some of these factors you can’t change. Others you may be able to manage through lifestyle changes and medical care. You may be at higher risk for a heart attack if you:
What are the symptoms of a heart attack?Each person may have slightly different symptoms of a heart attack. But these are the most common symptoms:
Chest pain is the key warning sign of a heart attack. But it may be confused with other conditions. These include heartburn, pleurisy, and pneumonia. Always see your healthcare provider for a diagnosis. How is a heart attack diagnosed?If you or someone you know has any of the warning signs for a heart attack, act right away. Call 911 or your local emergency number. Don’t drive yourself to the hospital or emergency department if you think you are having a heart attack. Diagnosing a heart attack often happens in an emergency department. There, a healthcare provider will ask you about your health history and do a physical exam. You may also need some tests, such as:
How is a heart attack treated?The goal of treatment for a heart attack is to ease pain, restore blood flow to the coronary artery, preserve the heart muscle function, and prevent death. Treatment may include:
You may also need other procedures to restore blood flow to the heart. These are described below. Percutaneous coronary intervention (PCI) or coronary angioplastyThis procedure opens up a blocked or narrowed coronary artery. There are several ways to do so. After coronary angiography has found a blockage, a new catheter with a small balloon at its tip may be inflated inside the blocked artery to open the blocked area. Or the blocked area may be cut away with a special device or vaporized with a laser. A tiny metal coil called a stent is often expanded inside the artery. The stent remains in place to help keep the artery open. Coronary artery bypass graft (CABG)This surgery is also called bypass surgery or CABG (pronounced "cabbage"). It is often done in people who have chest pain (angina) and severe coronary artery disease that can't be treated with PCI. During the surgery, the surgeon makes a bypass to let blood flow around the blockage. This is done by grafting a piece of a vein from the aorta to the coronary artery beyond the blocked part of the artery. The surgeon often takes veins from a leg. Arteries from the chest or an arm may also be used to bypass blockages. These bypasses last longer than vein grafts. What are possible complications of a heart attack?Possible complications of a heart attack include:
What can I do to prevent a heart attack?Talk with your healthcare provider about your risk for a heart attack. You may be able to prevent a heart attack by:
Key points about a heart attack
Next stepsTips to help you get the most from a visit to your healthcare provider:
What is insufficient blood flow called?Peripheral vascular disease is the reduced circulation of blood to a body part other than the brain or heart. It is caused by a narrowed or blocked blood vessel. The main cause is atherosclerosis, which is the build-up of fatty deposits that narrow a blood vessel, usually an artery.
What do you call the condition characterized by an insufficient supply of blood resulting in a loss of feeling and emotion?Not enough blood supply is called ischemia. Angina can be a symptom of coronary artery disease (CAD). This is when arteries that carry blood to your heart become narrowed and blocked. This can happen because of: Hardening of arteries (atherosclerosis)
Is a condition in which there is insufficient blood I the circulation to fill the blood vessels?Ischemia – Inadequate circulation of blood generally due to a blockage of an artery. Ischemic stroke – A stroke caused by interruption or blockage of blood flow to the brain.
What is ischemia?What is ischemia? Ischemia is a condition in which the blood flow (and thus oxygen) is restricted or reduced in a part of the body. Cardiac ischemia is the name for decreased blood flow and oxygen to the heart muscle.
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