Heart failure

Medium urgency
Very commonModerately severe

Heart failure is a condition in which the heart loses all or part of its capacity to pump blood around the body. It is a common, disabling and life-threatening disease. In developed countries, around 2% of adults suffer from heart failure. This rate increases to 6-10% in the over 65 age group. Causes include heart attack, arterial hypertension, smoking, alcoholism and diabetes, etc. Symptoms include increased night-time urination, swollen legs, difficulty breathing and shortness of breath that worsens when lying down. Diagnosis is clinical. An electrocardiogram, chest x-ray and echocardiography will be performed. Prevention is vital: diet, stopping smoking, blood pressure control, etc.

The cause should be treated if possible. Other treatments will also be administered to improve symptoms and stabilize the patient. For example oxygen, diuretic treatment or antihypertensive treatment, treatment to improve the cardiac pump, etc.

Bibliographic references
  1. Ramachandran S Vasan. Epidemiology and causes of heart failure. UpToDate, Julio 2015
  2. Roger VL. The heart failure epidemic. Int J Environ Res Public Health 2010; 7:1807.
  3. Yancy CW. 2013 ACCF/AHA guideline for the management of heart failure: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. Circulation 2013; 128:1810.
  4. Douglas L. Mann. Insuficiencia cardiaca: fisiopatología y diagnóstico. Harrison. Principios de Medicina Interna, 19e. Capítulo 279.
  5. E. Roig Minguell. Insuficiencia cardíaca. Farreras Rozman. Medicina Interna, ed 18. Capítulo 52
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Elevation of the head to sleep due to shortness of breath


    Shortness of breath at night


    Breathe better when sitting down


    Bubbling pot noise when breathing


    Swollen legs

Pre-hospital care recommendations

Assume a semi-seated position.
Call medical assistance for instructions.
If home oxygen is available, administer it.