A Banner Publication
February 7, 2008 – Vol. 2 • No. 6
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Questions & Answers

1. Does having heart failure mean that the heart will suddenly stop working?

No. Heart failure occurs when the heart is not strong enough to pump blood effectively, which results in inadequate circulation of oxygen to the organs and muscles of the body. Heart failure is a serious condition that requires medical care.

2. Why is heart failure common among African Americans?

Several causes of heart failure, such as coronary artery disease, high blood pressure, diabetes and obesity, are more common in African Americans. In addition, African Americans are more likely than other groups to have symptoms at a younger age, suffer from more severe forms of the condition, get worse faster and have more hospital visits due to heart failure. Blacks are more likely than other races to die from heart failure. This dramatic difference in health status and health outcomes can be attributed to a variety of factors, including lack of access to quality medical care.

3. Why do people with heart failure experience weight gain?

As the heart grows weaker, it is less efficient in pumping blood to the lungs where it picks up oxygen. As a result, fluid buildup causes weight gain.

4. Should people with heart failure abstain from exercise?

Not necessarily. The level of activity will depend on the stage of heart failure and its severity. Studies show that aerobic exercise, such as walking, improves heart function; other types of exercise do not. It is important for people with heart failure to get advice from their doctor about how active they can or should be. This includes advice on daily activities, work, leisure time, sex and exercise.

5. Why is salt, or sodium, harmful to people with heart failure?

Excess salt triggers fluid to build up in the body, making heart failure worse. A diet low in salt can help prevent or control heart failure.

6. Can heart failure be cured?

No. It cannot be cured; however, early diagnosis and treatment can relieve the symptoms and make daily activities easier and reduce the chance of hospitalization. Thus, it is very important to follow the treatment plan outlined by the doctor. Despite treatment, symptoms may get worse over time. However, following the treatment plan recommended by the doctor allows heart failure patients to stay healthier longer.

7. Why does high blood pressure cause heart failure?

Conditions that damage the heart muscle or make it work too hard can cause heart failure. Over time, the heart weakens and isn’t able to fill with and/or pump blood as well as it should. High blood pressure stiffens blood vessels and makes the heart work harder to pump blood throughout the body. Without treatment for high blood pressure, the heart may be damaged. Therefore, it is so important for individuals with high blood pressure to take their medications as prescribed regardless of how good they feel, and see their physician on a regular basis.


Joseph R. Betancourt
Lisa Michelle Owens, M.D.
Medical Director
Brigham Primary Physicians at
Faulkner Hospital


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