The Heart

Heart Failure

Other Health Topics

The Heart is the chambered muscular organ in vertebrates that pumps blood received from the veins into the arteries, thereby maintaining the flow of blood through the entire circulatory system.

Your body depends on the heart’s pumping action to deliver oxygen- and nutrient-rich blood to the body’s cells. When the cells are nourished properly, the body can function normally.

With heart failure, the weakened heart can’t supply the cells with enough blood.

At first the heart tries to make up for this by:

  • Enlarging. When the heart chamber enlarges, it stretches more and can contract more strongly, so it pumps more blood.
  • Developing more muscle mass. The increase in muscle mass occurs because the contracting cells of the heart get bigger. This lets the heart pump more strongly, at least initially.
  • Pumping faster. This helps to increase the heart’s output.

The body also tries to compensate in other ways:

  • The blood vessels narrow to keep blood pressure up, trying to make up for the heart’s loss of power.
  • The body diverts blood away from less important tissues and organs to maintain flow to the most vital organs, the heart and brain.

These temporary measures mask the problem of heart failure, but they don’t solve it. Heart failure continues and worsens until these substitute processes no longer work.

Eventually the heart and body just can’t keep up, and the person experiences the fatigue, breathing problems or other symptoms that usually prompt a trip to the doctor.

Heart failure is different in every patient – the parts of the heart affected and the symptoms can vary widely. For this reason, your doctor may use several different terms for describing your heart failure.

The two main types of heart failure are chronic heart failure and acute heart failure .

Chronic heart failure is more common and symptoms appear slowly over time and worsen gradually.

Acute heart failure develops suddenly and symptoms are initially severe. Acute heart failure either follows a heart attack that has caused damage to an area of your heart or, more frequently, is caused by a sudden lack of ability by the body to compensate for chronic heart failure.

If you develop acute heart failure, it may be severe initially but may only last for a brief time and improve rapidly. It usually requires therapy and administration of medication by injection (intravenously).

Key messages to protect heart health

  • Heart attacks and strokes are major–but preventable–killers worldwide.
  • Over 80% of cardiovascular disease deaths take place in low-and middle-income countries and occur almost equally in men and women. Cardiovascular risk of women is particularly high after menopause.
  • Tobacco use, an unhealthy diet, and physical inactivity increase the risk of heart attacks and strokes.
  • Cessation of tobacco use reduces the chance of a heart attack or stroke.
  • Engaging in physical activity for at least 30 minutes every day of the week will help to prevent heart attacks and strokes.
  • Eating at least five servings of fruit and vegetables a day, and limiting your salt intake to less than one teaspoon a day, also helps to prevent heart attacks and strokes.
  • High blood pressure has no symptoms, but can cause a sudden stroke or heart attack. Have your blood pressure checked regularly.
  • Diabetes increases the risk of heart attacks and stroke. If you have diabetes control your blood pressure and blood sugar to minimize your risk.
  • Being overweight increases the risk of heart attacks and strokes. To maintain an ideal body weight, take regular physical activity and eat a healthy diet.
  • Heart attacks and strokes can strike suddenly and can be fatal if assistance is not sought immediately.

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Index

  • American Heart Association
  • USA – National Heart, Lung, and Blood Institute
  • Conference on Cardiovascular Health (ProCor)
  • Global Health information network
  • Eastern Mediterranean Network on Heart Health, (EMNHH)
  • Online Resources

    National Societies

    Austrian Society of Cardiology
    Belgian Heart League
    Belgian Society of Cardiology
    Association of Cardiologists of Bosnia & Herzegovina
    British Cardiovascular Society
    Bulgarian Society of Cardiology
    Croatian Cardiac Society
    Cyprus Heart Foundation
    Czech Society of Cardiology
    Danish Society of Cardiology
    Finnish Cardiac Society
    French Society of Cardiology
    German Cardiac Society
    German Heart Foundation
    Hellenic Cardiological Society
    Hungarian National Heart Foundation
    Hungarian Society of Cardiology
    Iceland Heart Association
    Irish Cardiac Society
    Irish Heart Foundation
    Israel Heart Society
    Italian Federation of Cardiology
    Italian Heart Foundation
    Lithuanian Heart Association
    Lithuanian Society of Cardiology
    Macedonia Society of Cardiology
    Netherlands Heart Foundation
    The Netherlands Society of Cardiology
    Norwegian Society of Cardiology
    Polish Cardiac Society
    Portuguese Heart Foundation
    Portuguese Society of Cardiology
    Romanian Society of Cardiology
    Society of Cardiology of the Russian Federation
    Slovak Society of Cardiology
    Slovenian Heart Foundation
    Slovenian Society of Cardiology
    Spanish Heart Foundation
    Swedish Heart Lung Foundation
    Swedish Society of Cardiology
    Swiss Heart Foundation
    Turkish Heart Foundation
    Turkish Society of Cardiology

    Reports

    World Health Organisation

    The Atlas
    of Heart Disease
    and Stroke

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