Heart failure (HF) often referred to as chronic heart failure (CHF), occurs when the heart is unable to pump sufficiently to maintain blood flow to meet the body's need.  The terms congestive heart failure (CHF) or congestive cardiac failure(CCF) are often used interchangeably with chronic heart failure. Signs and symptoms commonly include shortness of breath,excessive tiredness, and leg swelling The shortness of breath is usually worse with exercise, while lying down, and may wake the person at night.  A limited ability to exercise is also a common feature.
Common causes of heart failure include coronary artery disease including a previous myocardial infarction (heart attack), high blood pressure, atrial fibrillation, valvular heart disease, excess alcohol use, infection, and cardiomyopathy of an unknown cause. These cause heart failure by changing either the structure or the functioning of the heart There are two main types of heart failure:heart failure due to left ventricular dysfunction and heart failure with normal ejection fraction depending on if the ability of the left ventricle to contract is affected, or the heart's ability to relax The severity of disease is usually graded by the degree of problems with exercise Heart failure is not the same as myocardial infarction (in which part of the heart muscle dies) or cardiac arrest (in which blood flow stops altogether). Other diseases that may have symptoms similar to heart failure include obesity, kidney failure, liver problems, anemia and thyroid disease
In my experience the following homoeopathic  remedies are found to be very effective
Strophanthus Q – It is an excellent diuretic without any side effects . It increases the systole and  diminishes the rapidity. Heart’s action weak , rapid, irregular, due to muscular debility and insufficiency. Cardiac pain and dyspnea . Pulse rapid, alternating with slow, weak , small , irregular . It has no cumulative effects and restores tone to a brittle heart
Digitalis  6— For weak dilated heart without the side effects of allopathic Digoxin. Sudden sensation as if heart stood still. Sensation as if heart would cease beating, if he moves, must hold the breath and keep still. Irregular heart especially with mitral valve disease. Cardiac failure after fevers Cardiac muscular failure when asystole is present.  Heart dilated after sprains. Pulse weak and quickened by least movement
Convallaria  majalis Q – It is an excellent heart remedy in decompensated heart where the heart is overdistended and dilatation had begun and where absence of compensatory hypertrophy and venous stasis had been there .Feeling as if heart beat throughtout the chest. Sensation as if heart ceased beating , then starting very suddenly
Ctrataegus Q- It is a heart tonic and can be given in any stage of heart ailments . It is an excellent antiarrythmic, sedative in irritable patients with cardiac symptoms. Heart weakness  with oppression , stitches, and insomnia. Extreme dyspnea on least exertion. Heart dilated , first sound weak

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