Biventricular heart failure

Medium urgency
Very commonModerately severe

Disorder of heart function in which the heart loses all or part of its ability to pump blood to the rest of the body. It is a common, disabling and potentially fatal disease. In developed countries, about 2% of adults suffer from heart failure, with the incidence rising to 6-10% in those over 65 years of age.

There are multiple causes including: heart attack, high blood pressure, smoking, alcoholism and diabetes.

Common symptoms include fatigue, decreased urination, leg swelling, enlarged jugular veins in the neck, shortness of breath, choking sensation that worsens when lying down, mental confusion and sweating on cold skin.

Diagnosis is clinical by questioning and physical examination. An electrocardiogram, chest X-ray and echocardiography are performed to complete the study.

The aim of treatment is to correct the triggering cause and treat the symptoms. Oxygen therapy, diuretic treatment, antihypertensive treatment and treatment to improve cardiac pumping strength will be used. Prevention is essential to avoid relapses: diet, smoking cessation, blood pressure control, etc.

Bibliographic references
  1. Ramachandran S Vasan. Epidemiology and causes of heart failure. UpToDate. Julio 2015
  2. Wilson S Colucci. Approach to anemia in adults with heart failure. UpToDate. Julio 2016
  3. Wilson S Colucci. Determining the etiology and severity of heart failure or cardiomyopathy. Febrero 2016
  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

    Swollen legs


    Elevation of the head to sleep due to shortness of breath


    Shortness of breath at night


    Tiredness / fatigue


    Bubbling pot noise when breathing

Pre-hospital care recommendations

Get into a semi-sitting position.
Call medical assistance for instructions.
If home oxygen is available, administer it.