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Complications

By Mayo Clinic staff

Heart-Healthy Living

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If you have heart failure, your outlook depends on the cause and the severity, your overall health, and other factors such as your age. Complications can include:

  • Kidney damage or failure. Heart failure can reduce the blood flow to your kidneys, which can eventually cause kidney failure if left untreated. Kidney damage from heart failure can require dialysis for treatment.
  • Heart valve problems. The valves of your heart, which keep blood flowing in the proper direction through your heart, can become damaged from the blood and fluid buildup from heart failure.
  • Liver damage. Heart failure can lead to a buildup of fluid that puts too much pressure on the liver. This fluid backup can lead to scarring, which makes it more difficult for your liver to function properly.
  • Heart attack and stroke. Because blood flow through the heart is slower in heart failure than in a normal heart, it's more likely you'll develop blood clots, which can increase your risk of having a heart attack or stroke.

Some people's symptoms and heart function will improve with proper treatment. However, heart failure can be life-threatening. It can lead to sudden death. People with heart failure may have severe symptoms, and some may require heart transplantation or support with an artificial heart device.

References
  1. What is heart failure? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hf/. Accessed Oct. 12, 2011.
  2. Lindenfield J, et al. 2010 HFSA Comprehensive practice guideline. Journal of Cardiac Failure. 2010;16:475.
  3. Jessup M, et al. 2009 Focused update: ACCF/AHA guidelines for the diagnosis and management of heart failure in adults. Circulation. 2009;119:1977.
  4. Weintraub NL, et al. Acute heart failure syndromes: Emergency department presentation, treatment and disposition: Current approaches and future aims. Circulation. 2010;122:1975.
  5. Riegel B, et al. State of the science: Promoting self-care in persons with heart failure: A scientific statement from the American Heart Association. Circulation. 2009;120:1141.
  6. Gottlieb DJ, et al. Prospective study of obstructive sleep apnea and incident coronary heart disease and heart failure: The Sleep Heart Health Study. Circulation. 2010;122:352.
  7. What is a ventricular assist device? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/vad/. Accessed Oct. 12, 2011.
  8. Schocken DD, et al. Prevention of heart failure: A scientific statement from the American Heart Association. Circulation. 2008;117:2544.
  9. Kapoor M, et al. Heart failure. In: Ferri FF. Ferri's Clinical Advisor 2012: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05611-3..C2009-0-38601-8--TOP&isbn=978-0-323-05611-3&uniqId=285410529-35. Accessed Oct. 5, 2011.
  10. Dietary Guidelines for Americans, 2010. U.S. Department of Health and Human Services. http://www.cnpp.usda.gov/DGAs2010-PolicyDocument.htm. Accessed Feb. 18, 2011.
DS00061 Dec. 23, 2011

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