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What Is Congestive Heart Failure?

Congestive heart failure (CHF) is often used to refer to heart failure. But since heart failure doesn’t always have symptoms such as congestion — fluid retention — the term “heart failure” is used to refer to the broad condition when your heart muscle doesn’t pump blood as well as it should.

Congestive heart failure results from blood backing up in the veins as the heart struggles to pump blood out to the body. The backup causes congestion in body’s tissues, leading to swelling (edema) typically in the legs and ankles.

Fluid can collect in the lungs (pulmonary edema) and cause shortness of breath, especially when lying down.

More patients with congestive heart failure and other heart conditions entrust their care to Norton Heart & Vascular Institute than any other provider in the Louisville and Southern Indiana area. Our board-certified and fellowship-trained cardiologists and other specialists in the Advanced Heart Failure and Recovery Program are at the leading edge of advanced treatments for congestive heart failure.

Congestive Heart Failure Symptoms

Symptoms vary, but often include:

  • Swelling, often in the legs and ankles
  • Shortness of breath — especially when lying down
  • Fatigue
  • Reduced exercise capacity

Congestive Heart Failure Treatment

The experienced specialists at the Advanced Heart Failure and Recovery Program have the expertise and leading-edge treatments to control your congestive heart failure symptoms and slow progress of the disease.

We work with you to develop a customized treatment plan that fits your condition and goals.

We start by working with you on dietary changes and other lifestyle adjustments such as physical activity, stress reduction, and reduction of alcohol and other drugs. We often have success with lifestyle changes in conjunction with medication.

Implanted devices such as a pacemaker or cardioverter-defibrillator (either implanted or wearable) can control abnormal heart rhythms such as arrhythmia. Your Advanced Heart Failure and Recovery Program provider may use a sophisticated device to remotely monitor your blood flow daily for subtle changes that can signal a worsening condition.

Targeting the cause of your congestive heart failure may involve minimally invasive procedures such as ablations that carefully destroy small parts of diseased heart to restore blood flow or interrupt abnormal heart rhythms.

If your congestive heart failure is complicated by thickened muscle between the two ventricles, surgery may be needed to remove part of the muscle to improve blood flow through the heart.

Our surgeons have experience and sophisticated training with ventricular assist devices if necessary as either a long-term solution or a short-term bridge to a heart transplant.

About Norton Heart & Vascular Institute

Norton Heart & Vascular Institute offers advanced care at all of our adult-service hospitals to save hearts and lives.

Awards and Accreditations

  • All of Norton Healthcare’s adult-service hospitals in Louisville have received Chest Pain Center accreditation from the American College of Cardiology (ACC).
  • Norton Audubon Hospital has been named a HeartCare Center National Distinction of Excellence year after year by the American College of Cardiology. This is the only hospital in Louisville to be recognized for this distinction.
  • Norton Audubon Hospital, Norton Brownsboro Hospital and Norton Hospital all are recognized as having ACC Chest Pain Center with Primary PCI accreditation.
  • Norton Audubon Hospital earned ventricular assist device (VAD) accreditation from DNV and the Centers for Medicare & Medicaid Services.

Leading the Region in Advanced Care

  • First in Louisville to implant a dual-chamber leadless pacemaker
  • First in Louisville to use PASCAL and MitraClip to replace and repair heart valves
  • First health care system in Louisville to offer CathWorks FFRangio System in a minimally invasive procedure used to treat clogged arteries and advance heart disease
  • Highest survival rate in the nation for  extracorporeal membrane oxygenation (ECMO) interventions treating heart failure
  • Among the highest survival rates in the nation for treatment of cardiogenic shock in heart failure
  • Over 100 transcarotid artery revascularization (TCAR) procedures performed for heart disease patients
  • System with the most facilities across the city of Louisville with the ability treat a life-threatening heart attack
  • More than 100 board-certified physicians and advanced practice providers with specialized heart and vascular training and experience at nearly 30 locations in Louisville and Southern Indiana

Comprehensive Heart Care for the Whole Person

Norton Heart & Vascular Institute offers patient resources to support you and your family, including free classes for people of all ages who want to improve cardiovascular health or are living with a heart condition.

  • Cardiac rehabilitation: Our cardiac rehabilitation providers are leaders in developing and applying innovative techniques that can help you recover and resume your life.
  • Connecting Hearts for Support group: The group provides education and support to individuals who have had a heart attack, are living with a heart condition or are at risk for cardiovascular disease.
  • Heart health screenings: Prevention is the best way to manage heart disease, and screenings are available to detect early signs of cardiac and vascular disease and identify risk factors.

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