Congestive heart failure with preserved ejection fraction

The heart can look strong on a pumping test while becoming stiff during filling. Pressure may then build up behind the heart and cause breathlessness, reduced stamina, cough, or swollen ankles. High blood pressure, atrial fibrillation, diabetes, kidney problems, and excess fluid can contribute. Symptoms can vary from day to day, so a clinical assessment may include blood pressure, heart rhythm, blood tests, an electrocardiogram, and an echocardiogram.

Arrange a chronic disease review to discuss your symptoms, medicines, blood pressure, rhythm, kidney function, and fluid balance. Take prescribed treatment consistently, weigh yourself only if your clinician recommends it, and follow the agreed advice about salt, fluids, activity, and daily monitoring. Report a new cough, worsening fatigue, palpitations, or ankle swelling because these changes can help guide treatment.

Seek urgent medical help for severe or rapidly worsening breathlessness, chest pain, fainting, new confusion, blue lips, or an inability to speak in full sentences. Contact your clinician promptly if breathing becomes harder when lying down, swelling is increasing, or your usual activity suddenly becomes difficult.

Ask what your echocardiogram shows, which conditions may be adding strain, how to monitor fluid symptoms, and which changes should prompt same-day advice. Clarify how each medicine should be taken and what to do if you miss a dose.