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    Heart Failure Health Center

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    Your Doctor's Exam for Heart Failure

    Some standard and simple techniques provide your doctor with the first clues as to how well your heart functions. During your visit, your doctor will listen to your heart, take your heart rate, and check your blood pressure.

    Heart Failure and Your Appearance

    Your doctor will look at your appearance while you sit, perform mild activity, and lie flat. People with mild or moderate heart failure may appear comfortable at rest, but when active, they often become short of breath. In addition, those with heart failure may become uncomfortable if they lie flat for a few minutes.

    Heart Failure and Heart Rate

    Your doctor feels your pulse in order to check your heart's rate, rhythm, and regularity. Each pulse matches up with a heartbeat that pumps blood into the arteries. The force of the pulse also helps evaluate the amount (strength) of blood flow to different areas of your body.

    You can tell how fast your heart is beating (heart rate) by feeling your pulse. Your heart rate is the amount of times your heart beats in one minute.

    To measure your pulse, all you need is a watch with a second hand.

    • Place your index and middle finger of your hand on the inner wrist of the other arm, just below the base of the thumb. You should feel a tapping or pulsing against your fingers.
    • Count the number of taps you feel in 10 seconds.
    • Multiply that number by six to find out your heart rate for one minute (pulse in 10 seconds x 6 = ____ beats per minute).

    When feeling your pulse, you can also tell if your heart rhythm is regular or not.

    Heart Failure and Your Heartbeat

    Your doctor listens to your heart with the aid of a stethoscope. The opening and closing of your valves make a "lub dub" sound known as the ''heart sounds.'' The doctor can evaluate your heart and valve function and hear your heart's rate and rhythm by listening to your heart sounds.

    Heart Failure and Blood Pressure

    Blood pressure is the force or pressure exerted in the arteries by the blood as it is pumped around the body by the heart. It is recorded as two measurements:

    • Systolic. Pressure in the arteries during the period of the heart's contraction (the higher number).
    • Diastolic. Pressure in the arteries when the heart is relaxed, between heartbeats (the lower number).

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