Patient/caregiver was instructed regarding complications of systolic heart failure as follows:
- Arrhythmia: Damaged heart muscle, secondary to poor blood and oxygen supply, can lead to palpitations and arrhythmias. Individuals with history of arrhythmia can be at increased risk for presentation with fluttering in the chest, abnormal heartbeat, poorly felt pulse, dizziness, chest pain, altered levels of consciousness, and fainting.
- Blood clot formation: Compromised heart function with fluid back-up, in individuals with heart failure, can increase the risk for blood clot formation. A case of coexisting arrhythmia can increase the risk for clot significantly. These blood clots floating in circulation can be deposited in any vital organ as emboli, obstruct the blood flow, and can result in serious complications such as myocardial infarction and stroke.
- Increased weakness and fatigue: Reduced blood supply to the muscles can result in reduced oxygen supply to the muscle, thus leading to muscle pain, fatigue, and reduced endurance to activity.