Heart Failure Part 1: What is heart failure?
One of the most common misunderstandings about heart failure is that the heart suddenly stops beating. The reality is that it happens over a period of time. Early diagnosis of heart failure is critical to managing the disease and extending a patient’s life.
I had the pleasure of discussing heart failure with Dr. Eileen Hsich, Director of the Women’s Heart Failure Clinic at the Cleveland Clinic and Chair of the WomenHeart Scientific Advisory Council, has devoted her medical career to treating, educating and researching cardiovascular disease in women.
Lisa Nelson RD: One of the most common misunderstandings about heart failure is that the heart suddenly stops beating. What is heart failure and what actually occurs during heart failure?
Dr. Hsich: What happens during heart failure is that the heart fails to pump the blood forward properly. The fluid backs up and goes into your lungs. That could be due to a weak heart or a stiff heart. The heart can be strong but stiff and not able to relax. That is what causes the backup of fluid into the lungs.
Lisa Nelson RD: So it is not a sudden stop, but a gradual slow down of heart function. What are other misconceptions around heart failure?
Dr. Hsich: There are three that I want to discuss. The first misconception is that patients often think that they’re dying. I think that’s very unfortunate. They get that idea because heart failure has the word “failure” in there. I hear that all the time.
They think that it’s a disease that they’re going to die from. In fact, most patients improve on medical therapy. One out of every four fully recovers. I think that’s one misconception. I want people to know that there’s hope.
The second misconception is the fact that women feel that they are alone. And yet, 55% of patients with heart failure are women. This affects women and men nearly equally.
The third misconception is the fact that patients and doctors refer to this as one disease, like sometimes we refer to cancer as one disease. With cancer, we know that there are many different types.
With heart failure, we often forget that there are many different causes. High blood pressure, valvular disease, diabetes, as well as heart attacks are common causes. You can have heart failure with a weak heart or a strong heart. All of these factors affect how you do.
Heart Failure Part 2: Who is most at risk for heart failure?
In this second part of a two-part series on heart failure, we explore who is most at risk and new heart failure treatment options to improve quality of life with the Director of the Women’s Heart Failure Clinic at the Cleveland Clinic and Chair of the WomenHeart Scientific Advisory Council, Dr. Eileen Hsich.
Lisa Nelson RD: Who is most at risk for heart failure?
Dr. Hsich: Heart failure risk is greatest for the people who have had heart attacks. That is the most common risk factor, for both men and women. Once you’ve had a heart attack, you’re at the highest risk to have heart failure. High blood pressure is more common in women than men as the cause. So is valvular disease. Diabetes is a common risk factor for both women and men.
Lisa Nelson RD: How about in regards to age or race? Is there any predominance in one group versus another?
Dr. Hsich: Yes. Women are more likely than men to develop heart failure due to high blood pressure and valvular disease, and develop it at older ages, as well as with stronger hearts. Men tend to develop heart failure with weaker hearts, younger ages and due to heart attack.
Patients who are African American often have high blood pressure as the underlying cause. They can develop heart failure with a weak heart or a strong heart. High blood pressure is often the underlying cause. I always refer to it as the silent killer. None of us can feel our blood pressure. It’s really important that we get checked. Diabetes is also something that you don’t necessarily know until you get checked.
