Your medical history includes anything about
your past and present health—conditions you used to have or conditions you have
now. Tell your doctor about medical problems of any type, including any surgery
that you have had. When giving your doctor your medical history, be complete
and detailed in your descriptions. Even if an illness is completely gone or
does not seem important to you, knowing about that problem may help your doctor
heart failure. Also, knowing all of your past
and present medical problems will help your doctor decide the best way to care
for your condition.
As part of your medical history, you should
also review with your doctor the medicines that you currently are taking. This
is best done by bringing an updated list of the names and dosages of all the
medicines that you are taking.
In addition to the medical
conditions that you have had or now have, your doctor will want to know about
several factors that increase your risk for developing heart failure. Since
coronary artery disease (CAD) is a cause of
heart failure, risk factors for heart failure include the major risk factors
for CAD, such as smoking, diabetes, high total
cholesterol or LDL cholesterol, high blood pressure,
advanced age, and being male. Drinking too much alcohol is also a risk factor
for heart failure. Your doctor will take into account all of the risk factors
you have when trying to determine whether you have heart failure. The more risk
factors you have and the more severe they are, the greater your chance of
having heart failure.
If other members of your family have
developed heart failure at a young age, you may be at risk for developing a
genetic form of heart failure. In addition, if several members of your family
also have had diseases that are risk factors for heart failure, such as
hypertension or diabetes, you may be at increased risk
for those diseases, which also increases your risk for developing heart
During a medical history and physical exam, the doctor
will ask about symptoms (such as shortness of breath, swelling, and coughing),
recent or past illnesses (such as heart attack, viral illness, high blood
pressure, and diabetes), physical activity, breathing, sleeping, eating, and
other routine activities.
The parts of the physical exam that are
most helpful in diagnosing heart failure are:
The physical exam is a regular part
of almost any visit for heart problems.
Usually, signs of some heart condition are
present, such as high blood pressure or a heart murmur that means
heart valve disease.
If you have symptoms
typical of heart failure, the physical exam may be all that your doctor needs
to make the diagnosis. But you will have additional tests to determine the
specific cause and type of heart failure so that you can receive appropriate
Some people with early symptoms of heart failure have
no physical findings.
of heart failure depends on the whole picture of physical findings, symptoms, and tests.
If physical findings and your medical history strongly
suggest heart failure, you most likely will have a chest X-ray, an
electrocardiography to evaluate the heart size, shape,
and function and to evaluate the lungs for signs of fluid buildup.
Complete the medical test information form (PDF)(What is a PDF document?) to help you prepare for this test.
April 26, 2012
Rakesh K. Pai, MD, FACC - Cardiology, Electrophysiology & Stephen Fort, MD, MRCP, FRCPC - Interventional Cardiology
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