HF - home monitoring; CHF - home monitoring; Cardiomyopathy - home monitoring
Heart failure is a condition in which the heart is no longer able to pump oxygen-rich blood to the rest of the body efficiently. This causes symptoms to occur throughout the body. Watching out for the warning signs that your heart failure is getting worse will help you catch problems before they become too serious.
Knowing your body and the symptoms that tell you your heart failure is getting worse will help you stay healthier and out of the hospital. At home, you should watch for changes in your:
By watching out for warning signs, you can catch problems before they get too serious. Sometimes these simple checks will remind you that you forgot to take a pill, or that you have been drinking too much fluid or eating too much salt.
Be sure to write down the results of your home self-checks so that you can share them with your health care provider. Your provider's office may have a "telemonitor," a device you can use to send your information automatically. A nurse will go over your self-check results with you in a regular (sometimes weekly) phone call.
Throughout the day, ask yourself:
You will get to know what weight is right for you. Weighing yourself will help you know if there is too much fluid in your body. You might also find that your clothes and shoes are feeling tighter than normal when there is too much fluid in your body.
Weigh yourself every morning on the same scale when you get up -- before you eat and after you use the bathroom. Make sure you are wearing similar clothing each time you weigh yourself. Write down your weight every day on a chart so that you can keep track of it.
Call your provider if your weight goes up by more than 2 to 3 pounds (1 to 1.5 kilograms, kg) in a day or 5 pounds (2 kilograms) in a week. Also call your provider if you lose a lot of weight.
Know what your normal pulse rate is. Your provider will tell you what yours should be.
You can take your pulse in the wrist area below the base of your thumb. Use your index and third fingers of your other hand to find your pulse. Use a second hand and count the number of beats for 30 seconds. Then double that number. That is your pulse.
Your provider may give you special equipment to check your heart rate.
Your provider may ask you to keep track of your blood pressure at home. Make sure you get a good quality, well-fitting home device. Show it to your provider or nurse. It will probably have a cuff with a stethoscope or a digital readout.
Practice with your provider to make sure you are taking your blood pressure correctly.
Contact your provider if:
Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. Circulation. 2015;131(4):e326. PMID: 24222015 pubmed.ncbi.nlm.nih.gov/24222015/.
Heidenreich PA, Bozkurt B, Aguilar D, 2022 AHA/ACC/HFSA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. Circulation. 2022;146(13):e185. PMID: 35363499 pubmed.ncbi.nlm.nih.gov/35363499/.
Lam CSP, Shah SJ, Solomon SD. Heart failure with preserved and mildly reduced ejection fraction. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Philadelphia, PA: Elsevier; 2022:chap 51.
Mann DL. Management of heart failure patients with reduced ejection fraction. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Philadelphia, PA: Elsevier; 2022:chap 50.BACK TO TOP
Review Date: 8/23/2022
Reviewed By: Thomas S. Metkus, MD, Assistant Professor of Medicine and Surgery, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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