Q: I’ve noticed that I get tired and winded more easily than I used to. How do I know if that’s just part of getting older or something more serious?
A: Getting older can bring some changes to our energy and endurance, but persistent fatigue, shortness of breath, swelling in your feet or ankles or a noticeable drop in your ability to do everyday activities shouldn’t automatically be blamed on age. Those can be signs of heart failure.
The name can be frightening, but heart failure does not mean your heart has stopped. It means the heart isn’t pumping blood as efficiently as the body needs. It can develop gradually, and some people may not recognize the changes at first.
Heart failure can be associated with conditions such as high blood pressure, diabetes, coronary artery disease, excess weight and heart valve disease. Some cases can also be related to genetics, viral infections or other causes.
One symptom doctors pay close attention to is shortness of breath, particularly when you’re active. Trouble breathing when lying down or waking up suddenly at night feeling short of breath can also be warning signs. Other symptoms can include swelling, changes in weight, lightheadedness, and a faster heart rate.