Congestive Heart Failure

Congestive Heart Failure (CHF) is a chronic cardiac condition, where the heart is unable to pump sufficient blood to fulfill the needs of your body. There is fluid build up around the heart, which makes the pumping of the heart insufficient. The symptoms are lung congestion, wheezing, water retention, bloating, swollen ankles, fainting, etc.

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I was diagnosed with congestive heart failure with only 20% heart function last week. How long will I live?

Query: Hello doctor, I am aged 24-year-old. I smoke three cigarettes daily and drink once weekly. But I also go to the gym. I am active in physical fitness and I weight lifts at the gym every alternate day. Last week I got chest pain while working out and was diagnosed with congestive heart failure with on...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to Sorry to hear this. Please share your echocardiography and ECGs, and I will ask some questions regarding your issue; only then I can tell you the prognosis. There are many causes of heart failure; some are reversible, but most are irreversible. Nowadays, there are lots ...  Read Full »

I am diagnosed with congestive heart failure. What will be my life expectancy?

Query: Hello doctor, I am in my late twenties, with a history of occasional smoking and drinking (may be once in two weeks). I do active cardios four nights a week. Recently I got my regular body check-up done, and I was diagnosed with congestive heart failure. It has been said that heart function has been...  Read Full »

Dr. J. N. Naidu

Answer: Hi, Welcome to I read your query and understand your concern. Try to adopt a healthy lifestyle, practice yoga, and meditation, and have more fruits and boiled vegetables. Also, avoid smoking and drinking. Thank you.   Read Full »

I just noticed bedsore on the upper side of my father's leg. Please suggest some treatment for it.

Query: Hello doctor, I just saw a bedsore on the upper side of my father's leg. He is a congestive heart failure patient and got bedsores because he does not move regularly. Sometimes, the skin becomes dark. Please suggest a treatment for the same.  Read Full »

Dr. Kaushal Bhavsar

Answer: Hello, Welcome to I can understand your concern. I have gone through the image you have attached (attachments removed to protect the patients' identity), and it suggests a bedsore. The best treatment is to avoid pressure in that area. I suggest he should sleep in a position where the ...  Read Full »

Can my 93-year-old weak father with congestive heart failure get a PEG tube?

Query: Hi doctor, My father is a 93-year-old with well-controlled congestive heart failure who has been weakened by two weeks in the hospital to the point where he can not take food in without aspiration risk. We are considering a peg tube. Can doctors deny him this procedure based on age or his conditions...  Read Full »

Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to I read your query and understand your concerns. My simple answer to your question is no, provided the risks of placing a PEG (percutaneous endoscopic gastrostomy) tube are less than its benefits to a debilitated patient. I also like to inform you that placing a peg tube ...  Read Full »

Due to high uric acid, my father feels drowsy with leg swelling. How to manage it?

Query: Hello doctor, My father is 42 years of age, and he has a congestive and congenital heart disease by birth. He visited many doctors, but all of them suggested that there is no need for any immediate treatment and that he can live with it. He is now under medications, and he is doing well. The reason...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to Sorry to hear about your dad's health issues. Your dad seems to be suffering from Eisenmenger's syndrome. This is a long-term complication of congenital heart disease. It is the cause of his kidney problems. In my practice, I usually suggest diuretics for my patients j...  Read Full »

Please examine and comment on my baby's ECG report.

Query: Hi doctor, My baby's heart rate is 110 beats per minute. During examination, the echocardiogram shows S1 normal, S2 split 3/6 and continuous murmur at left infraclavicular region. What does the information indicate?  Read Full »

Dr. Rishu

Answer: Hi, Welcome to I have seen the reports of echocardiogram (attachment removed to protect patient identity). The patient has a condition called patent ductus arteriosus. Usually ductus arteriosus closes at birth of a baby, but sometimes, it remains patent and does not close naturally....  Read Full »

How to manage oxygen desaturation in a CHF patient?

Query: Hello doctor,I have congestive heart failure (heart failure with preserved ejection fraction - HFpEF) diagnosed by stress echocardiography test where E/E' ratio was 11 at rest, and E/E' ratio increased to 15 post-exercise. There are frequent episodes of oxygen desaturation whenever the heart is stre...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to Based on my experience in similar cases, people that have mild or moderate CHF do not have oxygen desaturation at rest or stress. It is usually when there is an associated lung disease, which you said there is not, or when there is the presence of severe heart failu...  Read Full »

What is the cause for CHF and CVA infarct?

Query: Hello doctor, Patient is a 64-year-old male. He has a heart condition confined with a diagnosis CHF, and CVA infarct. He is now experiencing difficulty in breathing and swollen feet. He is currently taking Carvedilol, Aspirin, Furosemide, Captopril, Atorvastatin (old prescription). BP ranges140/120...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to He suffers from congestive heart failure and is taking medicines for that. You did not tell dosages of medicines. His reports show (attachment removed to protect patient identity) he also has raised creatinine and urea levels which may be due to varied causes. It may b...  Read Full »

Why are my dad's feet so puffy?

Query: Hi doctor, My dad is 83 years old. He keeps coughing up phlegm and sleeping all the time. He is cold and his feet are very swollen. His feet are so puffy and he feels difficult to wear shoes or walk. He weighs about 300 lbs. He is suffering from congestive heart failure. Currently, he is on Lisinop...  Read Full »

Dr. Sadaf Mustafa

Answer: Hello, Welcome to I am worried about depressed cardiac function, kidney dysfunction or liver disease. If the swelling is increasing; after he saw his doctor, then he should be seen again sooner rather than later. He would need further testing and evaluation for the swelling. It is not n...  Read Full »

Can alcohol and steroid cause heart failure with low ejection fraction?

Query: Hi doctor, My husband was just diagnosed with congestive heart failure with 25% ejection fraction. They also found an artery 100% blocked, but his own body made another vein and they discovered it is viable, so no bypass surgery is needed. They also discovered his mitral valve is stiffened, and no...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to Thanks for the query madam. Good to know you are worried about your husband. Yes, alcohol and steroids do cause harm to the heart. Make sure your husband never uses these suicidal drugs again, as now he has an ejection fraction of only 25%. Coming to the mitral valve...  Read Full »

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