congestive heart failure | Dr Raghu


Heart failure is an umbrella term for a set of physical symptoms arising due to the gradual deterioration in the heart’s pumping ability. The term “congestive heart failure” was traditionally used because the condition resulted in fluid buildup and congestion in the lungs.

However, doctors and medical researchers have found that it causes a wide array of other symptoms. That’s why they now refer to the condition as heart failure.

What Happens in Congestive Heart Failure?

A healthy human heart relaxes and contracts nearly 100,000 times a day and pumps more than 2,000 gallons of blood throughout the body. The cardiovascular system also includes a network of arteries and veins to transport deoxygenated and oxygenated blood to and from the heart. If any part of the system falters, it can disrupt the flow of blood to vital organs.

Heart failure is characterized by a progressive decline in the heart’s power to pump blood. When that happens, the heart goes through a series of structural changes (knowns as cardiac remodeling) and beats faster to pump more blood.

Also, the blood vessels constrict to stabilize blood pressure and restrict blood supply to non-critical organs like the skin and kidneys. When blood flow to the kidneys reduces, it compels the body to retain more fluid and sodium.

All these short-term fixes result in more damage and cause even more stress to the heart muscles. That, in turn, results in further deterioration of the heart’s pumping action.

Congestive Heart Failure Symptoms: A Closer Look

heart failure system

The heart failure symptoms vary depending on whether they’re caused due to a lack of oxygen or an increase in fluid build.

Lack of oxygen supply results in the following heart failure symptoms :

  • Confusion
  • Weight gain
  • Fatigue
  • Discolored or bluish skin

Excess sodium and fluid buildup in the body causes the following heart failure symptoms:

  • Lung congestion
  • Shortness of breath
  • Coughing and wheezing
  • Loss of appetite
  • Swelling of feet and abdomen

Causes and Types of Congestive Heart Failure

The most common causes of heart failure include:

There are various ways to categorize congestive heart failure. Depending on the part of the heart’s pumping that’s affected due to heart failure, it can be of the following types:

Systolic heart failure

Also, depending on the side of the heart that’s affected, heart failure can be categorized as left-sided failure and right-sided failure. The treatment approach a doctor will use depends on the type of heart failure a patient has developed.

Stages of Heart Failure

The American College of Cardiology and the American Heart Association has outlined four stages to denote the progression of heart failure. While Stage A is characterized by risk factors like underlying medical conditions, stage B shows structural changes in a patient’s heart. The more advanced stages (C and D) present visible symptoms.

In Conclusion

Heart failure (also known as congestive heart failure) is a progressive condition caused by the heart’s inability to pump blood adequately. It results in symptoms like shortness of breath, fatigue, weight gain, and brain fog.

Dr. C Raghu is an eminent cardiologist with more than two decades of experience. If you or someone you know has developed congestive heart failure symptoms, consult Dr. Raghu to explore your treatment options.

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    Understanding Congestive Heart Failure Symptoms Blog

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      Systolic-heart-failure-img.jpg

      Heart failure is a common condition with no known cure. However, proper treatment can control the disease progression and thus improve a patient’s quality of life and longevity. To decide the proper course of treatment, a doctor must first determine the type of heart failure a patient has developed.

      Depending on the part of the heart’s pumping cycle that’s been affected, heart failure can be of two types – diastolic and systolic. You can learn more about the symptoms, causes, treatment of diastolic dysfunction and differentiation from systolic dysfunction in our previous article.

      In this blog, we’ll delve deeper into systolic heart failure and understand its causes and symptoms.

      Systolic Heart Failure: A Closer Look

      Systolic Heart Failure

      Systolic heart failure occurs due to a problem in the heart’s contraction (or systolic) phase. It’s characterized by stretching and weakening of the left ventricular muscle, due to which the heart pumps out less oxygenated blood to the body.

      It’s also known as heart failure with reduced ejection infraction. As the condition worsens, it can also weaken the right ventricle and take a toll on its pumping power too.

      Related: What Are the Symptoms of Diastolic Dysfunction?

      Causes of Systolic Heart Failure

      Systolic heart failure is caused by underlying medical conditions that damage the left ventricle. The most common causes include :

      • Hypertension (the left ventricle has to use increased pressure to pump blood through the body)
      • Coronary artery disease (buildup of cholesterol in the arteries) – with or without a heart attack.
      • Dilated cardiomyopathy (weakening of the left ventricle due to an infection or long-term exposure to alcohol and narcotics)
      • Abnormal heart rhythm (also known as atrial fibrillation)
      • Previous heart attack

      Additionally, people who are older or have diabetes are at a higher risk of developing systolic heart failure.

      Related: Understanding Congestive Heart Failure Symptoms

      Symptoms of Systolic Heart Failure

      In systolic heart failure, an adequate amount of oxygen-rich blood doesn’t reach all organs. The most common indicator of the condition is a lower ejection fraction.

      It can result in the following symptoms:

      • Breathlessness – initially on exertion and in later stages even at rest or lying down. 
      • Swelling of feet, face, abdomen – due to fluid accumulation in various organs 
      • Engorged and pulsatile neck veins
      • Confusion (due to a lack of oxygen supply in the brain)
      • Weight gain (due to a buildup of excess fluid in the body)
      • Fatigue (due to reduced blood supply to the muscles)
      • Pale or bluish skin tone (due to restricted blood supply to the skin and other vital organs).

      Diagnosis and Treatment Options

      Typically, a doctor prescribes various tests, such as chest X-ray, ECG, and echocardiography, to diagnose systolic heart failure and its root cause. The treatment plan depends on the underlying cause.

      In most cases, systolic heart failure is treated using one or more of the following medications:

      • Beta-blockers
      • Diuretics or water pills
      • ACE inhibitors
      • Digoxin
      • Anticoagulants

      Additionally, doctors recommend a healthy diet and lifestyle changes to improve cardiac health and manage underlying conditions, such as hypertension and diabetes.

      Related: Diagnosing Congestive Heart Failure

      In Conclusion

      If left untreated, systolic heart failure can damage vital organs and even lead to death. It’s crucial that patients watch out for symptoms like swollen feet, mental confusion, and bluish skin color and seek medical treatment at the earliest.

      Dr. C Raghu is an experienced cardiologist who specializes in interventional cardiology and TAVR. If you or anyone you know is experiencing symptoms of systolic heart failure, connect with Dr. Raghu for proper diagnosis and treatment.

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        What Is Systolic Heart Failure ? – Blog

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          DR. RAGHU | Best Cardiologist in Hyderabad

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          unnamed-3.jpg

          The heart is a critical organ that powers the human body. It beats roughly 100,000 times a day and pumps more than 2,000 tons of blood throughout the body. 

          Heart failure is a condition in which the heart gradually loses its pumping capacity. It can lead to symptoms like breathlessness, fluid buildup, and mental confusion. In the long run, it can result in organ damage and even death.

          In this blog, we’ll take a closer look at the symptoms, causes, and treatment of congestive cardiac failure. Let’s dive right in.

          Congestive Cardiac Failure and Heart Failure: Are They the Same?

          Traditionally, doctors used the terms congestive cardiac failure or congestive heart failure to refer to the progressive deterioration of the heart’s pumping action. They used “congestion” to describe the buildup of fluid in the lungs due to heart failure.

          congestive cardiac failure

          However, subsequent studies have shown that the condition can lead to other symptoms, such as swollen feet, fatigue, and mental confusion. That’s why doctors use the term heart failure nowadays.

          Causes of Congestive Heart Failure

          Irrespective of whether you call it congestive cardiac failure or simply heart failure, its most common causes include:

          Additionally, damaged or dying heart tissue due to an infection or a previous heart attack can result in congestive cardiac failure. 

          Related : Mitral Valve Stenosis : Symptoms, Diagnosis, Treatment

          Symptoms of Congestive Heart Failure

          congestive cardiac failure

          The symptoms of congestive heart failure depend on whether it causes a lack of oxygen supply to the organs or excess fluid buildup in the body.

          In the first case, the symptoms include mental confusion, fatigue, and discolored or bluish skin. In the second case, heart failure can lead to symptoms, such as shortness of breath, coughing, wheezing, weight gain, swelling in the feet, legs, and abdomen, and loss of appetite.

          Treatment of Congestive Heart Failure

          The treatment of congestive heart failure depends on its underlying cause and the side of the heart that’s affected. A doctor will order a series of tests, such as chest X-ray, ECG, echocardiogram, and coronary angiography. Routine blood tests, such as lipid panel and electrolyte tests, might be needed, too.

          Once the root cause is identified, your doctor can prescribe one or more of the following medications:

          • Diuretic or water pills
          • Beta-blockers
          • ACE inhibitors or Angiotension receptor Neprilysin inhibitor 
          • Digoxin
          • Anticoagulants

          Additionally, the doctor will recommend lifestyle changes, including exercise, a low-sodium diet, and weight loss. Also, they’ll ask you to quit smoking and limit alcohol consumption. In extreme cases, patients need a heart transplant or ventricular assist device (VAD) to improve their quality of life.

          Wrapping Up

          Congestive cardiac failure is a chronic condition with no known cure. If left untreated, it can lead to organ damage and death. However, a proper treatment plan comprising lifestyle changes and medications can help manage various symptoms.

          Dr. C Raghu is a renowned cardiologist and a specialist in interventional cardiology. If you or anyone you know is experiencing symptoms of heart failure, don’t hesitate to contact Dr. Raghu right away.

          Book Online Consultaion





            Congestive Cardiac Failure – Blog

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              dr. raghu

              DR. RAGHU | Best Cardiologist in Hyderabad

              MD, DM, FESC, FACC, FSCAI
              Cardiology Coronary, Vascular and
              Structural Interventions



              Conditions & Diseases

              Coronary angioplasty

              Angioplasty

              Coronary angioplasty

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              Coronary angioplasty

              Atrial Fibrillation

              Coronary angioplasty

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              View More Services


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