What are the symptoms of heart failure?

Heart Failure

Q. What are the symptoms of heart failure?

A. There are various symptoms by which the failure of the heart to do its duty is indicated. One of the most common is shortness of the breath. It is one of the duties of the heart to pump the blood through the lungs for purifi­cation. When the heart is not able to pass the blood through the lungs rapidly enough to keep the blood free from carbon dioxide, this poison accumulates in the blood and shortness of breath is the result.

Another common symptom is swelling of the feet. Swelling of the feet is generally an in­dication either that the heart is weak or that the kidneys are diseased. Both conditions may exist at the same time.
Still another indication of weakness of the heart is blueness of the lips. This symptom in­dicates that the blood is not being circulated fast enough to keep it free from carbon dioxide. That is, the blood in the arteries instead of being of the natural scarlet color differs little from that of the veins because of the lack of oxygen.

Still another and a very important indication of heart failure is increase in the pulse rate. When there is found to be a progressive in­crease from day to day in the rate of the heartbeat, the significance is that the heart is becom­ing progressively weaker and weaker. Suppose for example, the rate of the pulse today is 75, tomorrow 78, next day 80, the following day85, a day or two later 90, some days later 110, at the end of two or three weeks, 130 or 140. The indication is very certain that the patient is suf­fering from progressive and increasing weak­ness of the heart which will finally result in heart failure. An intelligent nurse or a wise physician will, of course, note the significance of this symptom and will take measures to arrest the progress of the disease which is causing the heart weakness.

One of the most efficient means of strengthen­ing the heart is the cold compress over the heart or even an ice bag. If an ice bag is used it should be protected with one thickness of flannel to avoid excessive chilling of the skin. The cold appli­cation should be removed at least once in twenty minutes. It may be reapplied after an interval of five minutes. The purpose is to give the skin a chance to react. Reaction may be encouraged by rubbing the skin with the hand so as to re­store the warmth of the part. By this means the nerves are kept active and so the reflex effect through which the good result is produced may be maintained for an indefinite time. Short cold rubbing baths, deep breathing and massage are other means of aiding the weakened heart and combating heart failure.

Ordinary fainting is a condition of heart fail­ure. This condition is most successfully com­bated by the application of cold over the front of the chest. Percussion over the heart is also beneficial. Application of cold to the face, in fact to any part of the body, is also helpful. To produce the strongest effects, a cold application may be made to the whole surface of the body.

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