- [Voiceover] So Left-Sided Heart Failure means
that the left side of your heart isn't pumping enough blood
as it should, right.
Since the left side of your heart pumps blood to your body,
whereas your right side pumps blood to your lungs,
the symptoms are gonna be a little different
for heart failure on the left side versus the right side.
And we can even further divide those symptoms
of Left-Sided Heart Failure into two categories.
And the first one is Forward Failure,
and the second one is Backward Failure.
So if we're talking about Forward Failure,
we're saying that the heart is failing to pump enough blood
out from the heart or forward.
So the first and kind of foremost symptom,
one of the big pieces of heart failure
is tiredness and fatigue.
So let's really quick, review how blood moves around.
Usually, it comes into the left side.
And then, your left side
pumps it out to you, the body.
And that blood has oxygen
because your body needs oxygen, right.
So your heart's pumping the blood out to your body
to give it oxygen.
Then, your body uses it up, and it gives it back
to the right side of the heart,
where it pumps it to the lungs.
And then, that blood goes back into the left side,
and that whole process repeats.
So since your left side isn't pumping enough blood,
enough oxygenated blood or blood with oxygen
to your body, your body's gonna feel fatigued
and tired because it's not getting enough oxygen, right.
And because your whole body, every cell in your body
needs oxygen to kind of survive.
So if it's not getting enough oxygen,
you're gonna feel tired.
You're gonna feel fatigued.
And this again is one of the hallmark symptoms
of decompensated or kind of late-stage heart failure.
So second symptom of Forward Failure
is a decrease in urine production.
That sounds kind of weird.
Why would it do that?
Well since your body's having trouble receiving enough blood
because that left side's not pumping enough blood out,
it tries to keep or hold onto the fluid to increase
the amount of blood in your body.
Usually any extra fluid will just be taken up by our kidneys
and eliminated through your urine, right.
But now your body's like, "We need more blood,
"so I'm gonna hold onto this fluid."
And so your urine production goes down.
Finally, another symptom of Forward Failure
is a rapid or irregular heartbeat.
And sometimes we call these "palpitations,"
where it feels like your heart is suddenly racing
really fast or even beating really hard.
And when this seems inconsistent,
either when the heart rate is beating too fast
and then too slow and then too fast,
or maybe it's beating really hard all of a sudden.
We might call that irregular,
that it's this irregular heart beat,
and sometimes that can even feel like a beat was skipped.
The reason this is happening is because the heart's trying
to compensate for a lower pumping ability.
So the heart's beating faster and harder
to try to increase the amount of blood
that's sent out to your body.
Okay, so those were the symptoms that are caused
by this inability to pump enough blood forward or out,
but you can also have symptoms that are caused
by this Backward Failure.
And when we say Backward Failure,
we mean that the heart isn't able
to receive enough blood into the heart.
And you start to get this backup of blood.
And so most of the time, kind of manifests the symptoms
of congestion or fluid buildup,
and it's also why we sometimes call it
congestive heart failure, so let's think about this.
Fluid comes from your lungs to your heart.
But if your heart's not pumping effectively,
it's not pumping enough blood out.
That blood's gonna start to get backed up, right.
Think of it like a traffic jam.
So all of a sudden, there's this one lane for all the cars
to get through, and so there ends up being this huge
line of cars that gets backed up.
It's sort of like the same thing with fluid being backed up.
And where does that blood get backed up to?
Well since it's coming from the lungs,
it makes sense that it gets backed up to the lungs.
And this is sometimes called pulmonary edema,
since that blood's being backed up
into the pulmonary portion of your circulatory system,
which is also your lungs.
And the edema just refers to fluid buildup.
So the first Backward Failure symptom or congestive symptom
is this difficulty breathing.
So since this fluid's being backed up into your lungs,
it can fill into these alveoli, which are the parts
of your lungs that help exchange oxygen.
And since those are filling up with fluid instead of air,
it's gonna make it a lot more difficult to breathe.
And along those same lines,
you might start to cough up this pink or foamy mucus.
Since that fluid's filling into the lungs
when it's definitely not supposed to be,
your body tries to clear those lungs' airways
by coughing, by coughing up the fluid.
And sometimes that fluid may be tinged pink
because that blood is backing up into the lungs.
And these two symptoms might even get worse
at night or while you're laying down
since now the fluid's working less against gravity
than it was when you're standing up.
And those coughing fits or difficulty breathing
might get worse while you're trying to sleep.
Finally, some patients may notice
that they're gaining weight,
and this is for the same reasons that we just mentioned,
so that the body's holding onto more fluid, right.
So your body's gonna have all this extra fluid weight,
and that's gonna be reflected in this increase
in weight gain.