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    these symptoms are the result of fluid

    buildup in your body.

    starting, you may feel tired and short ofbreath after routine physical effort, like

    climbing stairs.

    As your heart grows weaker, symptoms

    get worse.

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    Fluid buildup from heart failure alsocauses weight gain, frequent urination,and a cough

    The cough get worse at night or lyingdown.

    This cough may be a sign of acute

    pulmonary edema. condition in which too much fluid builds up

    in your lungs.

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    Acute pulmonary edema requires

    emergency treatment.

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    DIAGNOSIS OF HEART FAILURE

    Heart failure based on your medical and

    family histories, a physical exam, and the

    results of tests. Find out whether you have a disease or

    condition that can cause heart failure,

    such as coronary heart disease (CHD),

    high blood pressure, ordiabetes .

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    Rule out other causes of your symptoms

    Find any damage to your heart and checkhow well your heart pumps blood.

    Early diagnosis and treatment can helppeople who have heart failure live longer,

    more active lives.

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    Medical and Family Histories

    Your doctor will ask whether you or others in

    your family have or have had a disease or

    condition that can cause heart failure.

    Your doctor want to know which signs and

    symptoms you have, when they occur, how long

    you've had them, and how severe they are.Y

    ouranswers will help show whether your symptoms

    limit your daily routine, and, if so, how much

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    Physical Exam

    During the physical exam, doctor will:

    Listen to your heart for sounds that aren'tnormal .

    Listen to your lungs for the sounds of extra

    fluid buildup . Look for swelling in your ankles, feet, legs,

    abdomen, and the veins in your neck .

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    Diagnostic Tests

    No single test can diagnose heart failure. If

    you have signs and symptoms of heartfailure, your doctor may recommend one

    or more of the following tests.

    Also may refer you to a cardiologist.

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    EKG (Electrocardiogram)

    An EKG is a simple, painless test thatdetects and records the hearts electricalactivity.

    The test shows how fast the heart isbeating and its rhythm (steady orirregular).

    EKG may show whether the walls in yourheart's pumping chambers are thicker thannormal.

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    EKG also can show signs of a previous or

    current heart attack.

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    Chest X Ray

    Achest x ray takes pictures of the organs

    and structures inside your chest, such as

    your heart, lungs, and blood vessels.

    Also test can show whether your heart is

    enlarged, have fluid in your lungs, or

    whether have lung disease.

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    BNPBlood Test

    This test checks the level of a hormone in

    your blood called BNP. The level of this

    hormone rises during heart failure.

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    Echocardiography

    Uses sound waves to create a moving picture

    of your heart.

    The test provides information about the size

    and shape of your heart.

    How well your heart chambers and valves are

    working.

    Can identify areas of poor blood flow to the

    heart.

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    Areas of heart muscle that aren't

    contracting normally, and previous injury

    to the heart muscle caused by lack of

    blood flow.

    Echo may be done before and after a

    stress test

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    DopplerUltrasound

    ADoppler ultrasound uses sound waves to

    measure the speed and direction of blood flow.

    Test often is done with echo to give a more

    complete picture of blood flow to the heart and

    lungs.

    Doppler ultrasound often is used to find outwhether you have right-side heart failure (this is

    when the heart can't fill with enough blood).

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    HolterMonitor

    Records your hearts electrical activity for

    a full 24- or 48-hour period.

    You wear small patches called electrodeson your chest that are connected by wires

    to a small.

    Can be clipped to a belt, kept in a pocket,

    or hung around your neck.

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    Nuclear Heart Scan

    Shows how well blood is flowing through

    your heart and how much blood is

    reaching your heart muscle.

    During a nuclear heart scan, a safe,

    radioactive substance called a tracer is

    injected into your bloodstream through a

    vein.

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    Tracer travels to your heart and releases

    energy

    Nuclear heart scan can show where theheart muscle is healthy and where its

    damaged.

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    Cardiac Catheterization

    During cardiac catheterization (KATH-e-

    ter-i-ZA-shun), a long, thin, flexible tube

    called a catheter is put into a blood vessel

    in your arm, groin (upper thigh), or neck

    and threaded to your heart.

    This allows your doctor to look inside your

    coronary (heart) arteries.

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    During this procedure, your doctor can

    check the pressure and blood flow in your

    heart chambers, collect blood samples,

    and use x rays to look at your coronary

    arteries.

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    Coronary Angiography

    Usually is done with cardiac

    catheterization.

    A dye that can be seen on x ray is injected

    into your bloodstream through the tip of

    the catheter .

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    The dye allows your doctor to see the flow

    of blood to your heart muscle.

    Angiography also shows how well yourheart is pumping.

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    Stress Test

    During stress testing, you exercise (or are

    given medicine if you can't exercise) to

    make your heart work hard and beat fast.

    You may walk or run on a treadmill or

    pedal a bicycle.

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    Cardiac MRI

    Magnetic resonance imaging) uses radio

    waves, magnets, and a computer to create

    pictures of your heart as its beating.

    The test produces both still and moving

    pictures of your heart and major blood

    vessels.

    A cardiac MRI can show whether parts of

    your heart are damaged.

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    Thyroid Function Tests

    Thyroid function tests show how well yourthyroid gland is working.

    These tests include blood tests, imagingtests, and tests to stimulate the thyroid.

    Having too much or too little thyroidhormone in the blood can lead to heartfailure.

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