Congestive heart failure (CHF) occurs when the heart cannot pump out enough blood to meet the needs of the body. Any form of heart disease may lead to CHF, which results in a reduced ability to exercise and in severe cases can impair daily function. CHF is the most common cause of death for people over age 65.

• Shortness of breath
• Fatigue, exercise intolerance
• Rust-colored sputum
• Distended neck veins
• Cough—especially when waking
• Excessive nighttime urination
• Excessive protein in the urine
• Insomnia
• Nausea, vomiting
• Anorexia
• Anxiety
• Swelling in the extremities

CHF can be the result of any type of heart disease or condition. The following factors make it more likely that you will get CHF.

• Smoking
• High-fat diet, excess body weight
• Alcohol abuse
• High sodium intake
• Influenza, pneumonia
• Noncompliance with prescribed medications or recommended diet

Your health care provider will focus on identifying the cause and precipitating factors for CHF. Procedures include blood tests and electrocardiograms (ECG). Surgery may be needed if you have severe CHF.

• Vasodilators—reduce narrowing of vessels; cornerstone of treatment; for example, angiotensin-converting enzyme (ACE) inhibitors; side effects include kidney failure, cough, low blood pressure
• Diuretics—main types of diuretics include thiazide, loop diuretics, and potassium-sparing diuretics
• Digitalis glycosides—increase the ability of the heart muscle to contract properly; prevent heart rhythm disturbances

Nutrition and herbal medicine can play an important role in increasing the strength of the heart without also increasing its workload.

• Antioxidants: vitamin C (1,000 mg three times a day), vitamin E (400 IU per day), selenium (200 mcg per day)
• Coenzyme Q10 (30 to 50 mg twice a day): antioxidant, increases oxygenation of tissue, including heart muscle
• Essential fatty acids (1,500 mg twice a day): anti-inflammatory
• Diet: garlic, ginger, and onions all have a beneficial effect on circulation. Increase fiber (especially water-soluble), fruits, vegetables, and vegetarian sources of protein. Increase potassium and decrease sodium in the diet.
• Homocysteine metabolism: Folic acid (800 mcg per day), B6 (50 mg per day), B12 (400 mg per day), betaine (200 to 1,000 mg per day)
• Magnesium (500 mg): mild vasodilation (dilates blood vessels)
• Taurine (500 mg twice a day): helps your heart work more efficiently
• Carnitine (750 to 1,500 mg twice a day): important in fatty acid metabolism, increases efficiency of cardiac function

Herbs may be used as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, teas should be made with 1 tsp. of herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Drink 2 to 4 cups per day.

• Hawthorn (Crataegus monogyna): increases blood vessel integrity; dose is 3 to 5 g. This dose is difficult to achieve in tea or tincture. Supplements or solid extract are used.
• Mistletoe (Viscum album): protects against high blood pressure and hardening of the arteries, historically for exhaustion and nervousness
• Linden (Tilia cordata): historically used to lower blood pressure
• Rosemary (Rosmarinus officinalis): increases coronary artery blood flow, used to stimulate digestion and relieve nervous tension
• Motherwort (Leonurus cardiaca): regulates heart rhythm
• Dandelion (Taraxacum officinale): potassium-sparing diuretic
• Indian tobacco (Lobelia inflata): helps reduce spasm, stimulates respiratory function, used in smoking cessation. May be toxic if used above recommended doses.
• Lily of the valley (Convallaria majalis): specific for cardiac insufficiency; exceeding recommended doses may lead to nausea, vomiting, headache, stupor. Use no more than 30 drops per day.
• Horsetail herb (Equisetum arvense): diuretic

Hawthorn should be included in any treatment. In addition, use a combination of four to six of the above herbs at 1 cup tea three times per day or 30 to 60 drops tincture three times per day.

Homeopathy may be useful as a supportive therapy.

Castor oil pack. Apply oil directly to chest, cover with a clean soft cloth and plastic wrap. Place a heat source over the pack and let sit for 30 to 60 minutes. For best results use three consecutive days.

Contrast hydrotherapy. Alternate hot and cold applications to the chest. Alternate three minutes hot with one minute cold. Repeat three times to complete one set. Do two to three sets per day. For very sick patients, use cool and warm applications to decrease the contrast.

May be helpful for increasing circulation and cardiac strength.

May help increase lymphatic drainage and reduce swelling.

It is very important to prevent the heart disease from getting worse by getting plenty of exercise, eating a proper diet, and avoiding health risks.

CHF is dangerous during pregnancy. The first two weeks after giving birth is particularly dangerous for women with CHF.

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