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What Not to Do When You Have Heart Failure
January 02, 2025
Heart failure can sound like a scary diagnosis, but there’s good news — treatment options are getting better and it’s very possible to live a full and active life.
Still not sure where to start?
We asked Andrew Scatola, MD, an advanced heart failure and transplant cardiologist at the Hartford HealthCare Heart & Vascular Institute, for guidance. Here’s what you need to know.
What is heart failure?
Heart failure doesn’t mean your heart has stopped or is about to stop.
Instead, it refers to a range of conditions where the heart struggles to work as well as it should—like not pumping enough blood and oxygen to the rest of your body.
“The most common signs and symptoms of heart failure are trouble breathing, especially with physical activity or at night,” says Dr. Scatola. “Many people, but not everyone, will notice visible swelling in the ankles and legs.”
Fortunately, medication can treat many types of heart failure.
> Related: 5 Signs You Might Need a Cardiologist
4 things to avoid if you have heart failure.
When you’re managing this condition, your doctor will create a care plan designed just for you.
But, avoiding a few common mistakes can make a big difference in how you feel.
Dr. Scatola shares what to watch out for:
1. Skipping physical activity.
Wen you’re dealing with heart failure symptoms, it can be tempting to take it easy. But staying active is key.
“Deconditioning on top of heart failure can make people worse,” explains Dr. Scatola. “The more active you are, the better you’ll feel.”
2. Eating too much salt.
Sodium is one of the biggest culprits when it comes to worsening heart failure symptoms. Too much salt can make your body retain fluid, leading to swelling in your legs, ankles or abdomen and putting more strain on your heart.
Be sure to check food labels for hidden sodium, and try to limit processed or salty foods.
3. Using the wrong medications.
Not all over-the-counter medications are safe for people with heart failure, and some can worsen your condition. For example, NSAIDs like ibuprofen or naproxen can cause fluid retention, increase your blood pressure or interfere with other medications.
If you’re unsure if a medication is safe to take, ask your doctor or pharmacist if there are potential risks or interactions.
4. Ignoring new or worsening symptoms.
No one understands your body better than you, which is why it’s so important that you let your doctor know about any new or worsening symptoms.
“Listen to when you’re not feeling well,” says Dr. Scatola. “And seek urgent care if you notice a sudden worsening of your breathing, chest pain, palpitations or feel like you’re going to pass out.”
> Related: Best Foods for Heart Health
When to see your doctor.
Managing heart failure might feel intimidating, but consistency can make a big difference.
“With daily attention to your symptoms, you can keep yourself healthy and out of the hospital,” adds Dr. Scatola. “Heart failure is now a very treatable condition, and many people are living long and full lives.”