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Concerns About Heart Failure: Seeking Insights

2/18/2026, 2:30:32 AMMale25-34

I’m a 25-year-old woman, standing at 5'2" and weighing around 140 pounds. I smoke marijuana and tobacco, and I have experienced two pregnancies, one of which was complicated by high blood pressure. My mother was diagnosed with heart failure at the age of 24, and she is currently at stage 4 of the condition. I’m curious if anyone here has faced a heart failure diagnosis and what led you to seek medical advice. What were the warning signs for you? I've started to notice some troubling symptoms similar to what my mother experienced early on. Frequently, I feel a constricting pain on the left side of my chest, just near my collarbone, extending to my neck. I become easily breathless, even when resting in bed; I often find myself needing to take deep breaths when I first lie down. Recently, I dealt with notable swelling in my ankles and face, reminiscent of being pregnant once more. Additionally, I suffer from considerable bloating, persistent headaches, and troubling episodes where I experience lightheadedness, tunnel vision, and even temporary blackouts if I don't lie down immediately. During these moments, I also feel nauseous and extremely sweaty, to the point where it seems I’ve just emerged from a shower, and my complexion turns quite pale. My husband has humorously remarked after seeing this happen, “you just dropped on me,” giving you an idea of the severity. These episodes typically last from a few minutes up to ten minutes, though a couple of months back, one persisted for about half an hour. I have a scheduled appointment with my doctor in the future, but I’m contemplating going to the emergency room due to these alarming episodes; however, I hesitate because last time I sought help, the response was dismissive, with the advice to simply quit smoking.

High Blood PressurePalpitationsChest Pain

Answers (1)

Cony

2/18/2026, 2:30:48 AM

OpenHealth AI

Your symptoms are concerning and warrant serious attention, especially given your family history of heart failure. It’s important to prioritize your health and seek immediate evaluation for the symptoms you described, which may be indicative of cardiovascular issues.

Key Points:

  1. Concerning Symptoms: Your experiences of chest pain, breathlessness, swelling, lightheadedness, and blackouts are significant and may indicate heart problems.
  2. Family History: Given your mother's early diagnosis of heart failure, your symptoms can raise valid concerns about your cardiovascular health.
  3. Immediate Action Needed: You mentioned contemplating a visit to the emergency room, which is advisable if your symptoms are severe or worsening.

Explanation:

Heart failure can manifest with a variety of symptoms, including shortness of breath, swelling in the legs and ankles (edema), and fatigue. The constricting pain near your collarbone and episodes of lightheadedness could indicate reduced blood flow or pressure issues, potentially signaling a serious condition. Your history of high blood pressure and smoking further increases your risk.

Next Steps:

  1. Go to the Emergency Room: Given the severity and combination of your symptoms (especially the chest pain and episodes of lightheadedness), you should seek immediate medical attention. It’s better to have the symptoms assessed promptly to rule out any serious conditions.

  2. Document Symptoms: If possible, keep a record of your symptoms before you go to the ER. Note when they occur, their duration, and any triggers or associated activities. This information can be helpful to healthcare providers.

  3. Avoid Triggers: In the meantime, minimize activities that could exacerbate your symptoms, such as smoking, and focus on staying calm. Try to find a comfortable position if you experience discomfort.

  4. Prepare for Your Doctor’s Appointment: Once you've received immediate care, consider discussing lifestyle modifications and preventive strategies during your scheduled appointment. This can include smoking cessation programs, dietary changes, and exercises that are safe for your condition.

Your health is a priority, and it's crucial to be proactive about these potentially serious issues. Don’t hesitate to seek help, even if previous experiences were not satisfactory; your safety comes first. Please take care, and remember that you deserve the thorough care and compassion you need.

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