The Last Stages of Congestive Heart Failure

Congestive heart failure may be present for years and will ultimately be fatal. When the heart fails to function properly, blood is not pumped efficiently to all the tissues and major organs of the body. During the last stages of congestive heart failure, the body becomes more congested with fluid, does not receive enough oxygen and many bodily functions fail.  

Swelling

As the heart grows weaker and can no longer effectively pump blood, the body naturally increases the blood volume and retains water in the kidneys. Blood and fluids back up behind the heart and cause an overabundance of water to enter the lungs and body tissues. Swelling most often occurs in the lower legs, feet, ankles and abdomen.

Shortness of Breath

During the last stages of congestive heart failure, shortness of breath or dyspnea occurs while resting or engaging in minimal activity. Fluid backs up around the heart and lungs, which makes breathing difficult.

Increased Urination

The need to urinate repeatedly at night is called nocturia, and this occurs as a result of the body resting in a prone position while sleeping. The fluid in the lower extremities repositions back into the bloodstream, filters through the kidneys and causes frequent urination.

Lung Congestion

Excess fluid in the lungs causes a dry cough, a cough with blood tinged mucous, wheezing or raspy breathing. Gasping for air may occur while lying down, due to congested lungs. Using several pillows to support the upper body while resting or sleeping can help with congestion.

Fatigue or Dizziness

During the last stages of congestive heart failure, the heart is unable to pump as much blood to the major organs of the body, muscles and brain. This causes fatigue and dizziness or confusion.