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What is heart failure? It does not mean your heart is about to stop. Heart failure is an unfortunate phrase that describes a set of conditions. The Pumping Marvellous Foundation prefers to call heart failure, HF.

How to diagnose heart failure
Reaching a diagnosis of heart failure typically involves several steps, including symptom recognition, BEAT and a simple blood test (NT-proBNP). These are the usual first steps to an initial assessment.

Newly diagnosed
We reckon you are feeling fantastic about the new you. A heart failing, everything you seem to read is negative and therefore, what does the future hold? We reckon you feel as though you need to give up.

NYHA Scale
The New York Heart Association Functional Classification, or NYHA for short, is an easy way for your doctor or nurse to classify your heart failure. It is based on your physical ability to do activities, as well as other potential symptoms like your breathing and shortness of breath.

Living well with heart failure
Part of our mission at Pumping Marvellous Foundation is to raise awareness of heart failure, which we have always believed doesn’t receive the attention it deserves.

Monitoring your symptoms
Recognising a change in your symptoms is important, but knowing what to do if they worsen is even more crucial. Always keep your symptom checker nearby alongside your healthcare team’s contact details

Types of heart failure
Heart failure specialists believe there are three types of heart failure. HFrEF (heart failure with reduced Ejection Fraction), HFmrEF (heart failure with mid-range Ejection Fraction) and HFpEF (heart failure with preserved Ejection Fraction).

Treatments
Since the treatment for heart failure varies depending on whether the ejection fraction is preserved or reduced, this information summarises the management of patients with heart failure with reduced Ejection Fraction

Medications
When you have heart failure, medication is one of the key supports for ensuring your heart functions properly. The drugs recommended for heart failure are proven to alleviate your symptoms, improve your outlook, and increase your life expectancy.

Cardiac Devices
This page deals with CRT devices CRT-P, CRT-D and ICD. CRT stands for Cardiac Resynchronisation Therapy, the “D” for defibrillator and the “P” for pacing. Often when people have heart failure their heart is weak and may be damaged in places.

Cardiac Rehab
There is evidence that people with heart failure gain significant improvement as a result of attending heart failure rehabilitation. These are usually formal exercise classes designed for patients with heart failure.

Guide to heart valves
The heart is divided into four chambers, and to allow blood to flow from one to another, there are valves acting as gates. The heart valves open and close to prevent blood from flowing backwards and to ensure it flows in the correct direction.

Iron deficiency
Iron deficiency is prevalent in patients with heart failure and is often neglected. It is an independent predictor of outcomes and a major contributor to exercise intolerance, even in the absence of anaemia.

LVADS
LVAD stands for Left Ventricular Assist Device. It is an implanted device that works to supports your heart. A LVAD does not replace your heart but works with it to pump more blood around the body with less effort.

Transplant
A heart transplant is the removal of an extremely damaged heart and replaced with a healthy heart from a donor. A heart transplant occurs when a heart can no longer support the rest of the body by supplying sufficient amounts of blood to other organs. A transplant will only be recommended for someone with end stage heart failure.

Glossary of Terms
View our glossary of heart failure terms.

Palliative Care
Since 2018, palliative care, included in the NICE Chronic Heart Failure Guidelines for Adults, has been important for patients and their families to recognise that it is integrated into standardised care as outlined by the guidelines.
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We are the Pumping Marvellous Foundation, the UK’s heart failure patient-led charity. Find out more about why we do what we do.
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