Next week is Heart Failure Awareness Week and north Cumbria’s specialist community heart failure nurses are raising awareness of the condition that affects millions of people in the UK.
There are around 7.6 million people living with heart and circulatory diseases in the UK – an aging and growing population and improved survival rates from heart and circulatory events could see these numbers rise.
It’s estimated that more than one million people in the UK have heart failure. There are around 200,000 new diagnosis of heart failure every year in UK. People with heart failure are two to three times more likely to have a stroke.
Jennifer Barbour, heart failure specialist nurse at North Cumbria Integrated Care NHS Foundation Trust, said: “Heart failure means that your heart isn’t pumping blood around the body as well as it should, most commonly when the heart muscle has been damaged – for example, after a heart attack. Heart failure does not mean your heart is about to stop working, it means it needs some support to help it work better.
“Heart failure is considered a preventable and treatable condition. Numerous research has suggested that the earlier the diagnosis and initiation of treatment the better the outlook. Your cardiologist or specialist heart failure nurse can recommend evidence based treatment to help support your heart to work better and stop it getting worse.”
Common signs and symptoms to look out for:
• Fluid retention – swelling of the ankles and/or legs and the tummy
• Extreme tiredness also called fatigue
• Breathlessness – especially when lying flat, like in bed
Other symptoms can include:
• A persistent cough
• Lack of appetite
• High heart rate
• Feeling light-headed or faint
Symptoms can develop quickly (acute heart failure) or gradually over weeks or months (chronic heart failure)
Symptoms listed can also be caused by other less serious conditions, therefore, it’s important to seek help early on and get this checked out.
Heart failure can be caused by many conditions but the main causes are heart attack, inherited heart conditions (e.g. cardiomyopathy), high blood pressure, heart rhythm and valve problems and inflammation of heart (e.g. infection) or toxins (e.g. alcohol).
These conditions can put a strain on the pumping muscle of the heart and may cause heart failure symptoms.
Lifestyle Changes
Having an healthy lifestyle including eating a well-balanced diet, regular exercising, reducing alcohol intake (or if your heart failure is directly caused by drinking alcohol you will be advised to stop completely) and stopping smoking can help with your symptoms and reduce your risk of becoming seriously ill.
When to seek medical advice
See your GP if you are experiencing persistent or gradually worsening symptoms of heart failure. A number of tests can be performed to check how well your heart is working including, ECG, Echocardiogram and blood tests. A diagnosis of heart failure can’t be confirmed without an Echocardiogram or Cardiac MRI.
How we can help
Specialist heart failure nurses can offer education, advice, monitoring, symptom management, medication support and individualised care plans in collaboration with the Cardiology Consultants. We see patients in community settings including community hospitals, health clinics or in patients own homes if they are housebound.
NCIC also have in-hospital Specialist Heart Failure Nurses who provide support to individuals in the hospital setting.
Please visit the NHS website for more information
Detect the Undetected: Find Me Film (youtube.com)
https://www.nhs.uk/conditions/heart-failure/living-with/
Pumping marvellous which is the UKs patient-led heart failure charity also has useful resources for patients and health care professionals.
https://pumpingmarvellous.org/
PATIENT CASE STUDY
John Robert Elliott - Personal experience of care under the Community Heart Failure Team
John said: “I started receiving care from the community heart failure team after my discharge from The Cumberland Infirmary in 2023/24 following a triple CABG and being diagnosed with moderately severe heart failure.
“Having appointments at my local hospital in Penrith was very convenient. I was always promptly attended to by Lyndsey Sowerby, who was friendly and efficient and who helped answer my questions with good advice.
“There was good liaison with my GP surgery re medication and test results. I also feel supported by the fact that although I have now been discharged, I can ring any time for advice and support.
“All in all, I couldn’t fault the service which I found excellent.”