Early heart failure signs 

The sixth and seventh decades are when your body slows down, unfortunately. A flight of steps you formerly climbed two at a time might suddenly seem like Mount Everest. Fatigue and breathlessness may indicate cardiac disease, although some energy loss is typical with age. 

Damage to the heart muscle or pumping ability causes heart failure. Heart attack and CAD do the most damage. Problematic heart valves, high blood pressure, or genetics may also cause it. Regardless of the cause, the failing heart cannot pump enough oxygen-rich blood. 

"There is a general tendency for people to ignore heart failure symptoms and attribute them to just getting older. Therefore, it was very important for us to create an easy way to identify those symptoms," says Dr. Mandeep R. Mehra 

Fatigue occurs when the heart can't pump enough oxygen-rich blood to fulfill the body's energy demands. 

Fatigue

Heart failure patients are often exhausted and short of breath, making it difficult to perform daily tasks. 

Activity limitation 

Coughing, wheezing, and breathing difficulties may arise from lung fluid accumulation. 

Congestion 

Fluid may pool in the ankles, legs, thighs, and belly if the heart can't push used blood up. Extra fluid might also accelerate weight growth. 

Edema or ankle swelling

Fluid in the lungs makes exchanging used blood carbon dioxide for oxygen harder. Because gravity draws fluid from the lungs up the body, laying down may make breathing difficult. 

Shortness of breath 

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