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5 key heart failure facts

1. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries,2013-1990: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 800-743:(9995)386 ;2015.

2. Go, et al. Heart Disease and Stroke Statistics2014− Update: A Report From the American Heart Association. Circulation. 4)129 ;2014):e-28e292.3. Lloyd-Jones DM, et al. Lifetime risk for developing congestive heart failure: the Framingham Heart Study. Circulation. 72–106:3068 ;2002.4. Remme WJ, et al. Public awareness of heart failure in Europe: first results from SHAPE. European Heart Journal. 2421-26:2413;2005.5. Survey of 11,000 members of the public aged +50 years old in Europe, funded by Novartis. RTNS UK Limited, March 2014.

Heart failure impacts more than

60 million people worldwide.1

1 in 5 people over

the age of 40 will develop

heart failure in their lifetime.2,3

Around

1 in 3 people mistake

heart failure symptoms as normal signs

of aging.4

1 in 4people would wait a week or more to

seek medical advice, or would not seek

medical advice at all when experiencing

the symptoms of heart failure.5

Fewer than

1 in 10 people can identify

3 common symptoms of heart failure

including severe breathlessness,

swollen ankles, rapid weight gain and

difficultly moving.5

www.MENA.KeepItPumping.com© Novartis Pharma AG – MENA Cluster Date of preparation: April 2019

Apr.2019/MENA/HF/024

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Heart failure symptoms

1. Holland R, Rechel B, et al. Patients’ Self-Assessed Functional Status in Heart Failure by New York Heart Association Class: A Prognostic Predictor of Hospitalizations, Quality of Life and Death. Journal of Cardiac Failure. 16:2 ;2010.

The New York Heart Association (NYHA) classification scale is used to assess the stages of heart failure.1 It places patients into one of four categories based on their physical capability:

I can perform all physical activity without getting short of breath

or tired, or having palpitations.

ClassI

Patients can move up and down the scale as their condition and treatments change.

I get short of breath or tired, or have palpitations

when performing more strenuous activities. For

example, walking on steep inclines or walking up

several flights of steps.

ClassII

I get short of breath or tired, or have

palpitations when performing day-to-day activities (for example,

walking along a flat path).

ClassIII

I feel breathless at rest, and am mostly

housebound. I am unable to carry out any physical activity without getting

short of breath or tired, or having palpitations.

ClassIV



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Heart failure can be punctuated by acute episodes where symptoms worsen rapidly - this is known as acute heart failure (AHF). Below are some symptoms that could indicate an acute heart failure episode.1,2

3 symptoms of an acute heart failure episode

Increased swellingAs an acute heart failure

episode approaches, fluid rapidly builds-up around the body causing swelling of the lower legs, abdomen or feet.

Severe breathlessnessDue to fluid building up in the lungs, patients will become

severely breathless and incapacitated, often compared to the sensation of drowning.

Rapid weight gain Because of the rapid

build-up of fluids, patients will rapidly gain weight.

1. Mosterd A, Hoes AW. Clinical epidemiology of heart failure. Heart. 46-1137:(9)93;2007.2. Irish Heart Foundation. Living well with heart failure patient booklet. http://www.irishheart.ie/media/pub/patient-booklets/living_with_heart_failure.pdf. 2013.

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Here are some suggested questions that you might want to ask your healthcare professional at your next appointment. If you think of others, write down a list and bring it to your appointment.

10 things to ask your healthcare professional

How severe is my condition?1.What are the most common side effects of my medicines?

6.

How will my condition change over time?2. Are there any local support groups I could join?7.

Are there activities I should avoid?3.Are there any alternative treatments that may be able to help me?

8.

Are there things I should do each day?4.When should I seek immediate medical attention?

9.

What medicines do you recommend?5.What signs and symptoms are considered an emergency?

10.

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Whoever is involved in your care, try to approach it as an honest and open partnership to tackle your condition together.

Your partnership with your healthcare professionals

Go preparedBefore appointments, make a note of any issues or questions

you would like to discuss.

Don’t worryDon’t be afraid to

ask what you feel may be

stupid questions.

Say what’s important to you

If there are certain aspects of your life that are

particularly important, let your healthcare professional know.

Bring a medication listIf you see more than one doctor,

it’s important to make sure they all know what treatments

you take.



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While there is no cure for heart failure, there are things you can do to manage it. Below are some suggestions!1

5 lifestyle changes to help manage heart failure

ActivityLike all muscles,

your heart muscle can benefit from

exercise. Even just taking a short walk can help.

Diet A healthy diet is key to leading a healthy

lifestyle.

Salt Eating less salt

is very important when you have heart failure as salt causes

your body to retain water.

Smoking Smoking is bad for

your health, and if you have been diagnosed with heart failure it is even more important that you don’t smoke.

AlcoholPeople with heart failure should also limit alcohol

consumption. Some people with heart failure should avoid alcoholic beverages altogether.

1. McMurray J, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal. 1847–33,1787 ;2012.



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When you have heart failure, one of the cornerstones to support the proper functioning of your heart is medication. See below for some general tips on taking your medication:

4 tips for taking heart failure medication

Be in charge of your own medication

Know exactly what you’re taking and how often, and understand why

you are taking it.

Don’t give up Medicines can sometimes

make you feel worse before they make you feel better.

Don’t give up without talking to your doctor.

Stay organized Don’t miss taking your medication and make sure you take each one on time and as

recommended.

Ask questionsRemember, this is a partnership between

you and your healthcare professional, so ask

questions, and discuss how your medications are

making you feel.



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When you’re caring for someone with heart failure, try to always remember the following and talk these through with your loved one.

6 things to remember when you’re caring for someone with heart failure

You are doing a great job Take pride in that.

1.

Try and have time for yourself Ensure that you still undertake hobbies or events that you most enjoy.

2.

Take care of yourself Remember, you need to be well in order to be able to help your loved one be well.

3.

Don’t be afraid to ask for support Everyone has their limits, recognize yours and call on those who can support you.

4.

It is normal to have a range of difficult emotions It’s perfectly normal to feel angry or down, to have good days and bad days; do not feel guilty.

5.

Ensure family and friends understand your role It is important that your family and friends understand the significance of your role, so talk about your role and any difficulties that you may be having.

6.



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Caring for someone with heart failure can have a big impact on your mental and physical wellbeing so it is important to recognize when you might need support. If you begin to notice any of the below, ask for help.

6 signs you need support

Feelings of anxiety,

irritability and depression, or a decline

in your physical health

Increasing alcohol intake, or excessive

smoking

Having difficulties

concentrating

Neglecting responsibilities

Being unable to sleep,

and feeling unusually

tired

Failing to eat properly



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4 ways to provide care from a distance

Have a routine for keeping in touch Find a time of day for

regular telephone calls or calls via your computer.

Have a plan in place for problems

Make sure the person you care for knows exactly

what to do if unexpected problems arise.

Know how to contact the doctor

Keep the name and contact details of your loved one’s

doctor at hand.

Ask for help If you’re worried, ask

someone local, such as a neighbour, to check in.

It is not always possible to live with or nearby someone with heart failure that you are helping to care for. These are some particular things to think about when caring for someone from a distance:



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