Heart failure, which affects over a million people in the UK, is known for its unpredictability. The condition occurs when the heart struggles to pump blood efficiently, leading to poor oxygen circulation because the heart has become too weak or stiff.
It’s important to note that this doesn’t mean the heart has “stopped working”. Causes can include a heart attack, cardiomyopathy, or high blood pressure, which heightens the risk.
The British Heart Foundation has pointed out that in England, 80% of heart failure cases are diagnosed in hospitals, and nearly half (40%) show symptoms that should have led to an earlier assessment. A symptom that might catch you off guard – and it concerns your feet – tends to be less noticeable in the morning but becomes more evident as the day goes on.
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Swollen ankles and legs, caused by fluid retention known as oedema, are listed by the NHS as key signs of heart failure. “It may be better in the morning and get worse later in the day,” the health service advises, reports the Mirror.
If you observe swelling in one or both of your ankles, feet, or legs that persists for several days or gets worse, it’s time to see your GP. While oedema can result from less serious issues like a sprain or insect bite, it could also signal a blood clot or infection, as previously reported.
So, it’s crucial to monitor the situation and seek medical advice if it persists. Oedema can also be caused by prolonged standing or sitting, being overweight or pregnant, or taking certain medications like steroids or antidepressants.
Therefore, the NHS recommends trying ‘gentle exercises’ and raising the swollen area when possible before seeing a doctor. The symptoms of heart failure can vary from person to person and may start suddenly or ‘develop gradually’ over weeks or even months.
Other warning signs to watch out for include: Less common symptoms such as depression, anxiety, wheezing, and loss of appetite may also occur. Again, if you’re experiencing worsening or persistent symptoms – contact your GP.