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Heart Failure - When to Call a Doctor

Call911or other emergency services right away if you have:

  • Symptoms of sudden heart failure, such as:
    • Severe shortness of breath (trouble getting a breath even when resting).
    • Suddenly getting an irregular heartbeat that lasts for a while, or getting a very fast heartbeat along with dizziness, nausea, or fainting.
    • Foamy, pink mucus with a cough and shortness of breath.
  • Symptoms of a heart attack, such as:
    • Chest pain or pressure, or a strange feeling in the chest.
    • Sweating.
    • Shortness of breath.
    • Nausea or vomiting.
    • Pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms.
    • Lightheadedness or sudden weakness.
    • A fast or irregular heartbeat.
  • Symptoms of a stroke. These include:
    • Sudden numbness, tingling, weakness, or paralysis in your face, arm, or leg, especially on only one side of your body.
    • Sudden vision changes.
    • Sudden trouble speaking.
    • Sudden confusion or trouble understanding simple statements.
    • Sudden problems with walking or balance.
    • A sudden, severe headache that is different from past headaches.

Call your doctor right away if you have a pacemaker or ICD and think you have an infection near the device. Signs of an infection include:

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  • Changes in the skin around your pacemaker or ICD, such as:
    • Swelling.
    • Warmth.
    • Redness.
    • Pain.
  • Fever not caused by the flu or another illness.

Call your doctor soon if you have symptoms of heart failure, which include:

  • Being very tired or having weakness that prevents you from doing your usual activities.
  • Having breathing problems such as:
    • Trouble breathing during routine activities or exercise that did not cause problems before.
    • Sudden shortness of breath, even if it is mild.
    • Shortness of breath when you lie down.
    • Waking up at night with shortness of breath or feeling as though you are suffocating.
  • A dry, hacking cough, especially when you lie down.
  • Sudden weight gain, such as 3 lb (1.4 kg) or more in 2 to 3 days.
  • Increased fluid buildup in your body (most often in the legs).

Call your doctor soon if:

  • Your heart failure symptoms get worse.
  • You have a sudden change in symptoms.
  • You're having trouble keeping even minor symptoms under control.

Who to see

Many different types of doctors and nurses can treat you for heart failure, including your family doctor.

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WebMD Medical Reference from Healthwise

Last Updated: May 08, 2013
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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