The New York Heart Association's functional classification of CHF is one of the most useful. Class I describes a patient who is not limited with normal physical activity by symptoms. Class II occurs when ordinary physical activity results in fatigue, dyspnea, or other symptoms. Class III is characterized by a marked limitation in normal physical activity. Class IV is defined by symptoms at rest or with any physical activity.
Recommended Lifestyle Changes
The most important thing you can change is your diet obesity and diabetes are both linked to diet, and both linked to CHF. Consult a nutritionist to determine a diet right for your situation.
- If you smoke, quit. Tobacco has direct and damaging effects on the cardiovascular system.
- Avoid salt. Sodium promotes fluid retention. Avoid high-sodium foods, heavily processed foods and unnecessary salt.
- Take your prescribed medication. Diuretics ("water pills") and beta blockers, as well as Digitalis and others can strengthen the heart and make it work more efficiently.
- Check other meds. Over the counter NSAIDS, such as aspirin, Motrin (ibuprofen) and Aleve (Naproxen) may increase fluid retention. Tell your doctor about any remedies you are taking.
- Control risk factors. Work with your doctor to address high blood pressure, diabetes and atherosclerosis or other heart problems.
- Reduce stress. The hormones released by the body in response to stress, anxiety and depression make the heart work harder. Practice relaxation techniques, volunteer, and seek positive social interactions. The relaxing breath (taught elsewhere on this site) can improve the oxygenation of blood and take workload off the heart.
