Living with congestive heart failure (CHF) doesn’t mean giving up on the activities or hobbies you enjoy. With the right care and steps at home, you can better manage your condition and improve your quality of life. Below, you will find information on daily actions, lifestyle tips, warning signs to watch for, and when to seek medical help. Adding some or all of these tips to your life can help to keep your heart as healthy as possible.
What is Congestive Heart Failure?
Congestive heart failure, or CHF, means your heart is not pumping as well as it should. When this happens, fluid can build up in your lungs, legs or abdomen, causing symptoms like tiredness, shortness of breath, sudden weight gain and swelling in feet, ankles and legs. With the right care and daily habits, many people live full and active lives.
Tips for managing CHF at home
Checking your symptoms daily is one of the most important ways you can stay ahead of changes in your condition. Here are some key steps to include in your daily routine:
1. Take your medications as prescribed
Medications help your heart do its job better and keep your symptoms under control. It is very important that you take your medications on time and exactly as instructed by your doctor or APP. Here are some tips to help you:
- Use a pill organizer or phone alarm to help you avoid missing doses.
- Make sure to take your medicine(s) even if you feel fine.
If you have questions about your medications, how to take them, or notice any side effects, be sure to reach out to your doctor, advanced practice provider* (APP) or pharmacist.
2. Track your health daily
- Weigh yourself every morning: Do this right after waking up, before eating. Write it down.
- Watch for symptoms: Look for swelling in your legs or stomach, shortness of breath, or unusual fatigue.
- Know your numbers: If recommended, check your blood pressure and pulse at home.
- When to call: If you gain 2–3 pounds in a day or 5 pounds in a week, call your doctor or APP.
3. Eat for your heart
What you eat plays a big role in managing your CHF. Eating the right foods can lower the strain on your heart and reduce fluid buildup. Here’s how to adjust your diet:
- Limit Salt: Aim for less than 2,000 mg of sodium a day (about one teaspoon). Avoid salty snacks and processed foods. Consider trying heart friendly diets, such as the DASH diet.
- Watch your fluids: Your doctor or APP may ask you to limit liquids to prevent fluid buildup. This includes water, coffee, tea, and even juicy fruits like oranges. Consider using a measuring cup to stay within your daily limit.
- Choose fresh: Fill your plate with fruits, vegetables, lean meats, and whole grains. The Mediterranean diet can help guide you in making the right food choices.
4. Keep moving
Even though CHF can make you feel tired, regular movement is good for your heart. Here are some suggestions on how to get started safely:
- Try light exercises like walking or stretching for 15 – 30 minutes.
- Rest when you begin to feel tired.
- Ask your doctor or APP about doing cardiac rehabilitation.
Remember to always check with your doctor or APP before starting a new exercise routine.
5. Know when to call your doctor/APP or 911
Sometimes, your symptoms can get worse even with good care. Knowing when to call your doctor, APP or emergency services can save your life. Here’s what to watch for:
Call Your Doctor If You Notice:
- Sudden weight gain (2–3 pounds in one day or 5 pounds in a week)
- Worsening of swelling in your feet, ankles, legs or stomach
- Increased shortness of breath or trouble breathing when lying down
- Feeling unusually tired or weak
Call 911 if You Have:
- Severe shortness of breath that doesn’t improve with rest
- Chest pain, tightness, or pressure that lasts more than a few minutes
- Fainting or severe dizziness
- A racing or irregular heartbeat that doesn’t go away
Never hesitate to seek help. It’s always better to be safe and call if something doesn’t feel right.
Managing CHF is a daily process. By taking small, consistent steps, you can improve your health and feel more in control of your condition. Remember, you are not alone, keep your appointments, follow your plan, and contact your care team with any concerns. By working together, they can help you better manage your congestive heart failure and continue living a full and meaningful life.
*An advanced practice provider includes a nurse practitioner or physician assistant.