Heart failure means that the heart is unable to pump blood around the body properly.
It usually occurs because the heart has become too weak or stiff.
It's sometimes called congestive heart failure, although this name isn't widely used nowadays.
Heart failure doesn't mean your heart has stopped working. It just needs some support to help it work better.
It can occur at any age, but is most common in older people.
Heart failure is a long-term condition that tends to get gradually worse over time.
It can't usually be cured, but the symptoms can often be controlled for many years.
Symptoms of heart failure
The main symptoms of heart failure are:
breathlessness after activity or at rest
feeling tired most of the time and finding exercise exhausting
swollen ankles and legs
Some people also experience other symptoms, such as a persistent cough, a fast heart rate and dizziness.
Symptoms can develop quickly (acute heart failure) or gradually over weeks or months (chronic heart failure).
When to get medical advice
See your Doctor if you experience persistent or gradually worsening symptoms of heart failure.
Call 112 or the Angels for an ambulance or go to your nearest accident and emergency (Urgencias) department as soon as possible if you have sudden or very severe symptoms.
A number of tests can be used to help check how well your heart is working, including blood tests, an electrocardiogram (ECG) and an echocardiogram.
Causes of heart failure
Heart failure is often the result of a number of problems affecting the heart at the same time.
Conditions that can lead to heart failure include:
coronary heart disease – where the arteries that supply blood to the heart become clogged up with fatty substances (atherosclerosis), which may cause angina or a heart attack
high blood pressure – this can put extra strain on the heart, which over time can lead to heart failure
cardiomyopathy – conditions affecting the heart muscle
heart rhythm problems (arrhythmias), such as atrial fibrillation
damage or other problems with the heart valves
congenital heart disease – birth defects that affect the normal workings of the heart
Sometimes anaemia, drinking too much alcohol, an overactive thyroidor high pressure in the lungs (pulmonary hypertension) can also lead to heart failure.
Treatments for heart failure
Treatment for heart failure usually aims to control the symptoms for as long as possible and slow down the progression of the condition.
Common treatments include:
lifestyle changes – including eating a healthy diet, exercising regularly and stopping smoking
medication – a range of medicines can help; many people need to take 2 or 3 different types
devices implanted in your chest – these can help control your heart rhythm
surgery – such as a bypass operation or a heart transplant
Treatment will usually be needed for life.
A cure may be possible when heart failure has a treatable cause.
For example, if your heart valves are damaged, replacing or repairing them may cure the condition.
Outlook for heart failure
Heart failure is a serious long-term condition that'll usually continue to get slowly worse over time.
It can severely limit the activities you're able to do and is often eventually fatal.
But it's very difficult to tell how the condition will progress on an individual basis.
It's very unpredictable. Lots f people remain stable for many years, while in some cases it may get worse quickly.