Heart failure: causes, symptoms and diagnosis

Written by: Dr Vinay Kumar Bhatia
Published:
Edited by: Conor Lynch

Heart failure is a very common and serious heart condition that occurs as a result of the human heart eventually becoming too weak to have the capacity to effectively and regularly pump enough blood throughout the body.

 

In our latest article, vastly experienced general adult cardiologist, Dr Vinay Kumar Bhatia, provides us with an expert overview of heart failure, what causes it, how it is diagnosed, as well as the major signs and symptoms to watch out for.

 

What is heart failure?

Heart failure is the medical term commonly used to refer to the general inability or struggling of the heart to pump blood around the human body sufficiently. On average, there are roughly 68,000 new cases reported of heart failure in the UK each year. The condition is more prevalent and is more common amongst the elderly.

 

What causes heart failure?

There are a variety of reasons why people suffer from heart failure. The commonest causes include the following:

 

What are the main signs and symptoms of heart failure?

The most regularly reported symptoms of heart failure include:

 

How is heart failure diagnosed?

There are numerous amounts of tests that may demonstrate suggestive heart-related abnormalities, such as blood tests, a chest X Ray, as well as an electrocardiogram. The overall diagnostic investigation, however, is almost always carried out through a detailed cardiac ultrasound. The general term used to refer to this is an echocardiogram.

 

In some cases, in order to carry out effective diagnosis, a handful of patients may also be required to undergo more invasive cardiac investigations, such as coronary angiography.

 

What treatment options are available?

Patients who suffer from heart disease can be rest assured that there exists a substantial amount of effective treatment options. The most effective heart failure treatment options include the following:

  • special pump assist devices
  • drugs, such as beta-blockers, ACE-inhibitors and ARBs
  • special pacemakers
  • heart transplant
  • stem cell therapy

 

It is also important to highlight here that some patients might also be suffering from various other treatable conditions that may be causing heart failure, such as atrial fibrillation and/or aortic stenosis. Some patients will also show significant improvement once they have undergone surgery, focused on improving the blood supply to the heart (coronary artery bypass surgery).

 

Dr Bhatia is a highly trained, expert adult cardiologist who specialises in conditions relating to the heart. If you are concerned about the health of your health and think you may be suffering from a heart-related abnormality, you can book a consultation with Dr Bhatia by visiting his Top Doctor’s profile here.

By Dr Vinay Kumar Bhatia
Cardiology

Dr Vinay Kumar Bhatia is a highly-experienced, fully UK trained general adult cardiologist based at the Tunbridge Wells hospital, Pembury, Royal Tunbridge Wells. He specialises in cardiology, having held the position as a consultant cardiologist since 2009. In his role to-date, he has obtained particular specialist expertise in cardiac imaging, echocardiography, stress echocardiography, as well as transoesophageal echocardiography and CT coronary angiography

Dr Bhatia obtained an MBBS (Bachelor of Medicine, Bachelor of Surgery) at the Guy's and St Thomas' Hospital Medical School, London, in 1994, and has gained up to 15 years' worth of formal training in general medicine and cardiology at highly-renowned London-based teaching hospitals. Within this period of training, this distinguished doctor completed a PhD in science research (Vascular Biology & Immunology) at the Imperial College London in 2005. 

Impressively, Dr Bhatia supervises and performs approximately 1,000 transthoracic echocardiograms and over 500 stress echocardiograms per year. He is directly involved in the care of over 1,000 patients on a yearly basis and provides expert testing and/or opinions on treadmill stress testing, transthoracic echocardiography, CT coronary angiography, transoesophegeal echocardiography, as well as electrocardiographic and holter monitoring analysis. 

In relation to Dr Bhatia's mission statement, he affirms that he is proud to mainly practice in the NHS, but over the years he has grown to appreciate the constraints on consultation and waiting times for many tests and procedures. Dr Bhatia stresses and recognises that this is not always best suited for many patients who need more time for a doctor to listen to their medically related issues, with greater in-depth discussion and explanation about why and how adult cardiologists carry out cardiac investigations in order to provide either an explanation (diagnosis) for patients' symptoms, or at the very least, reassurance and peace of mind. 
 

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