Heart Failure

Common Condition

A chronic condition where the heart cannot pump blood efficiently enough to meet the body's needs, causing fatigue, breathing problems, and fluid buildup.

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Symptoms

Shortness of breath during activity or when lying down
Persistent fatigue and weakness
Swelling in legs, ankles, and feet (edema)
Rapid or irregular heartbeat
Reduced ability to exercise
Persistent cough with white or pink mucus
Increased need to urinate at night
Swelling of the abdomen (ascites)
Sudden weight gain from fluid retention
Difficulty concentrating or decreased alertness

Causes

1
Coronary artery disease and heart attacks
2
High blood pressure (hypertension)
3
Damaged heart valves
4
Cardiomyopathy (disease of heart muscle)
5
Myocarditis (inflammation of heart muscle)
6
Congenital heart defects
7
Abnormal heart rhythms (arrhythmias)
8
Diabetes
9
Obesity
10
Sleep apnea

Treatments

ACE inhibitors (enalapril, lisinopril)
Beta-blockers (carvedilol, metoprolol)
Diuretics to reduce fluid buildup
Aldosterone antagonists (spironolactone)
SGLT2 inhibitors (dapagliflozin, empagliflozin)
Digoxin for heart rhythm control
Implantable cardioverter-defibrillator (ICD)
Cardiac resynchronization therapy (CRT)
Heart valve repair or replacement
Heart transplant for severe cases
When to See a Doctor

Seek emergency care if you experience sudden severe shortness of breath, chest pain, fainting, rapid or irregular heartbeat with shortness of breath, or coughing up pink, foamy mucus. See your doctor promptly if you notice increased swelling, sudden weight gain, or worsening fatigue.

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About Heart Failure

Heart Failure: Understanding and Managing a Challenging Condition

Heart failure is a serious chronic condition affecting millions of people worldwide, including a significant number of Filipinos. Despite its name, heart failure doesn't mean the heart has stopped working—rather, it means the heart isn't pumping blood as efficiently as it should.

What is Heart Failure?

Heart failure occurs when the heart muscle becomes too weak or stiff to pump blood effectively. There are two main types:

Heart Failure with Reduced Ejection Fraction (HFrEF): The left ventricle loses its ability to contract normally, so it can't pump with enough force.

Heart Failure with Preserved Ejection Fraction (HFpEF): The left ventricle can't relax or fill fully, reducing the amount of blood available to pump.

Heart Failure in the Philippines

Heart failure is a growing concern in the Philippines due to high hypertension rates, increasing heart disease prevalence, and lifestyle factors including diet high in sodium, smoking, and physical inactivity.

Recognizing the Warning Signs

Early Signs:

  • Feeling more tired than usual
  • Shortness of breath during activities that were previously easy
  • Mild swelling in feet or ankles at the end of the day

Progressive Symptoms:

  • Difficulty breathing when lying flat
  • Waking up at night gasping for breath
  • Persistent cough, especially at night
  • Weight gain from fluid retention

Living with Heart Failure

While heart failure is serious, many people live active, fulfilling lives with proper management:

Medication Adherence: Taking medications exactly as prescribed is crucial.

Daily Weight Monitoring: Weigh yourself each morning. Sudden weight gain may indicate fluid retention.

Dietary Management: Limit sodium to less than 2,000 mg daily, monitor fluid intake, eat heart-healthy foods.

Physical Activity: Appropriate exercise strengthens the heart and improves quality of life.

Heart failure treatment has improved dramatically in recent years. With proper management, you can maintain a good quality of life and slow the progression of this condition.

"Ang puso ay kailangan alagaan, hindi lang pisikal kundi pati emosyonal." (The heart needs care, not just physically but emotionally too.)