Banner Health
Making healthcare easier
INSTALL

Congestive Heart Failure

What is congestive heart failure?

Congestive heart failure (CHF), also called heart failure, is a chronic condition in which the heart cannot pump blood efficiently. This inefficiency can weaken the heart muscle over time. While CHF is often linked to other conditions such as cardiomyopathy, the two are not the same. Cardiomyopathy refers specifically to diseases of the heart muscle that may lead to CHF. With proper treatment and management, many CHF symptoms can be controlled successfully. 

Types of heart failure

Heart failure can occur differently depending on which side of the heart is affected. Common types include:

  • Left-sided heart failure: When the left side of the heart cannot pump blood effectively to the body, leading to fluid buildup in the lungs.
  • Right-sided heart failure: When the right side of the heart cannot effectively pump blood to the lungs, causing fluid buildup in the body's tissues. 

What are the symptoms of congestive heart failure?

Heart failure is often associated with other heart conditions, such as heart valve problems or irregular heartbeats. Symptoms of heart failure may include:

  • Coughing or wheezing, especially during physical activity
  • Feeling out of breath when lying flat
  • Shortness of breath with exercise or exertion
  • Rapid weight gain
  • Swelling in the hands, feet or abdomen due to fluid buildup
  • Fatigue or weakness after minimal activity

Stages of congestive heart failure

Stage 1: No noticeable symptoms

Stage 2: Normal physical activity may cause shortness of breath or heart palpitations

Stage 3: Mild physical activity leads to noticeable symptoms

Stage 4: Symptoms occur even at rest or with minimal activity

If you experience any of these symptoms, especially if you have a known heart condition, consult a doctor promptly. At Banner Health, our specialists can help identify the cause of your symptoms and provide tailored treatment options. 

What causes congestive heart failure?

CHF is often triggered by other medical conditions that weaken or damage the heart muscle over time. Common causes include:

Coronary artery disease 

Coronary artery disease is a condition where plaque builds up inside the coronary arteries, which supply oxygen-rich blood to your heart muscle. This buildup can lead to heart attacks or heart failure. 

How is congestive heart failure diagnosed?

Doctors use several tests to diagnose CHF and assess the health of your heart. These may include:

  • Electrophysiology procedures to improve heart rhythm
  • Stent placement to keep blood vessels open
  • Valve repair or replacement
  • Bypass surgery
  • Heart surgery for structural repairs
  • Implantable devices to regulate heartbeat
  • Heart transplant, left ventricular assist device (LVAD), or total artificial heart (TAH)

Learn more about the congestive heart failure diagnostic testing options offered by Banner Heath

Congestive heart failure treatment options

Our heart specialists treat heart failure with medication, such as beta-blockers or nitrates, or with a variety of medical and surgical procedures. We’ll also work with you to adopt lifestyle changes and develop a congestive heart failure action plan so you can better manage your condition and improve your heart health. While congestive heart failure is not curable, early detection and treatment can improve a patient’s life expectancy.

Medical procedures to help your heart stay strong longer, include:

  • Electrophysiology procedures to help your heart beat more efficiently
  • Stent placement - special tubes that keep your arteries open so that your heart gets the blood and oxygen it needs
  • Heart surgery to repair parts of your heart such as valves
  • Implantable devices to help regulate your heartbeat
  • Bypass surgery to alleviate stress on your heart
  • Valve repair and replacement
  • Heart transplant, left ventricular assist device (LVAD) and total artificial heart (TAH)

Your doctor may choose one or a combination of treatments to get the best results tailored to your needs. At Banner Health, you have a wide range of treatments available and, with our focus on research, some of the most advanced options for your care.

What if I can’t have a heart transplant?

If a heart transplant is not an option or you are awaiting a heart transplant, advanced therapies such as LVAD or TAH may be alternatives.

  • Left ventricular assist device (LVAD): Assists your heart in pumping blood, reducing symptoms like fatigue and shortness of breath.
  • Total artificial heart (TAH): Replaces the heart’s ventricles, pumping blood in and out of the heart mechanically.

Both devices are powered by external controllers and can serve as either bridge-to-transplant or long-term solutions.  

Left ventricular assist device

The LVAD works by helping your heart pump and circulate blood mechanically. This takes the pressure off your heart, so you feel less tired, have fewer symptoms and breathe easier. We implant the LVAD into your heart and activate it by an attached controller that stays outside of your body.      

Total artificial heart 

Like a LVAD, a TAH is also controlled by a power source outside your body. It replaces the heart’s ventricles and pumps blood to and from the heart.

Your doctor will determine whether or not an LVAD or TAH is an appropriate treatment option for you based on your specific health needs and conditions.

How to prevent congestive heart failure

Adopting a healthy lifestyle is the best way to prevent heart failure. If you do experience heart failure, you can also prevent further weakness by taking these steps:

  • Avoid alcohol abuse
  • Maintain a heart-healthy diet
  • Exercise moderately to stay active
  • Don’t smoke
  • Reduce your salt intake
  • Take medications as prescribed by your doctor to control other conditions, including diabetes, high blood pressure, and chronic thyroid disorders

At Banner Health, we support your heart health through cardiac rehabilitation, heart-healthy classes and support groups. Talk to your doctor to access the resources you need.