Chronic Heart Failure Quiz

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Tatsuya Shiraishi

Tatsuya Shiraishi, MD (Cardiology)

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Learn more about Chronic heart failure

Content updated on Sep 20, 2022

What is chronic heart failure?

Chronic heart failure is when the heart doesn't pump blood as well as it should. It is caused by conditions that overwork the heart, such as high blood pressure, heart valve disease, thyroid disease, kidney disease, diabetes, heart defects from birth, etc.

Symptoms of chronic heart failure

  • Hands and feet are cold

  • Difficulty breathing when lying down, which improves when sitting up

  • Facial swelling

  • Unintentional weight gain of more than 2 kg/month

  • Waking up at night with difficulty in breathing

  • Cough

  • Fatigue

Questions your doctor may ask to check for chronic heart failure

Your doctor may ask these questions to diagnose chronic heart failure

  • Do you have cold hands and feet?

  • Do you have breathing difficulty when lying down which improves when you sit up?

  • Do you have facial swelling?

  • Do you have unintentional weight gain of more than 2 kgs in one month?

  • Have you ever woken up at night because you were breathless or struggling to breathe?

Treatment for chronic heart failure

Treatment plan depends on the severity. Treatments can include diet modifications (eating less salt, limiting fluid intake), taking prescription medication or surgery (example, implantation of pacemaker).

View the symptoms of Chronic heart failure


  • Hoffman TM. Chronic Heart Failure. Pediatr Crit Care Med. 2016 Aug;17(8 Suppl 1):S119-23. doi: 10.1097/PCC.0000000000000755. PMID: 27490589.

  • Brennan EJ. Chronic heart failure nursing: integrated multidisciplinary care. Br J Nurs. 2018 Jun 28;27(12):681-688. doi: 10.12968/bjon.2018.27.12.681. PMID: 29953279.

  • Špinar J, Špinarová L, Vítovec J. Pathophysiology, causes and epidemiology of chronic heart failure. Vnitr Lek. 2018 Fall;64(9):834-838. English. PMID: 30441995.

  • Skrzypek A, Mostowik M, Szeliga M, Wilczyńska-Golonka M, Dębicka-Dąbrowska D, Nessler J. Chronic heart failure in the elderly: still a current medical problem. Folia Med Cracov. 2018;58(4):47-56. PMID: 30745601.

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Shohei Harase

Shohei Harase, MD


Kameda Medical Center, Japan

Sanshiro Kato

Sanshiro Kato, MD

Emergency department

Kawai Clinic, Japan

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Yu Shirai, MD


Yotsuya Yui Clinic, Japan

Yoshinori Abe

Yoshinori Abe, MD

Internal medicine

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Rohini R, MD

Ear, nose, throat (ENT)

Bayshore Health Centre, India

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Seiji Kanazawa, MD, PHD

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National Center for Child Health and Development, Japan

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