Use this form to describe the severity of your heart failure symptoms and whether they get worse. Also, record any new symptoms that develop. Take this form with you when you visit your doctor.
Describe severity of symptoms and when they started
Shortness of breath
Swelling in your legs or ankles
Sudden weight gain
Tiredness or weakness
Dizziness or feeling like you might faint
Not sleeping well
Current as of: January 10, 2022
Author: Healthwise Staff Medical Review: Rakesh K. Pai MD, FACC - Cardiology, Electrophysiology Martin J. Gabica MD - Family Medicine Adam Husney MD - Family Medicine George Philippides MD - Cardiology
Medical Review:Rakesh K. Pai MD, FACC - Cardiology, Electrophysiology & Martin J. Gabica MD - Family Medicine & Adam Husney MD - Family Medicine & George Philippides MD - Cardiology
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