How to recognize a CHF emergency

Knowing the warning signs of congestive heart failure (CHF) can help you act quickly and may help reduce the risk of serious complications. Here’s what to know:

Man holding chest

What is a CHF emergency? 

A CHF emergency happens when the heart can’t keep up with the body’s needs, despite current treatment.  

Subtle warning signs 

Call your doctor if you notice: 

  • Rapid weight gain  
  • Swelling in your feet, legs, fingers, or belly 
  • Extreme tiredness or weakness 
  • Loss of appetite or nausea 
  • Confusion or trouble thinking clearly. 

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Sudden warning signs 

Call 911 right away if you have: 

  • Trouble breathing at rest, while lying down, or if you wake up suddenly short of breath 
  • Chest pain or pressure 
  • A rapid or irregular heartbeat  
  • Fainting or feeling like you might pass out 
  • Coughing up pink or bloody mucus 

These signs may mean your heart is under serious stress. 

How to help avoid an emergency 

Track your weight, blood pressure, heart rate, and fluid intake daily. Bring your notes with you to regular appointments, and if possible, to urgent ones, too.