Heart Failure: Symptom Record
Topic Overview
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.
Symptoms |
Describe severity of symptoms and when they started
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Shortness of breath
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Swelling in your legs or ankles
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Sudden weight gain
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Tiredness or weakness
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Dizziness or feeling like you might faint
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Not sleeping well
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Other symptoms
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Credits
Current as ofApril 9, 2019
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
Current as of: April 9, 2019
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