{"id":1134363,"date":"2023-09-21T10:22:34","date_gmt":"2023-09-21T14:22:34","guid":{"rendered":"https:\/\/nortonhealthcare.com\/?post_type=service&#038;p=1134363"},"modified":"2025-11-20T16:23:01","modified_gmt":"2025-11-20T21:23:01","slug":"acute-heart-failure","status":"publish","type":"service","link":"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/services\/acute-heart-failure\/","title":{"rendered":"Acute Heart Failure"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Acute decompensated heart failure (ADHF) is a condition that includes new or worsening symptoms of heart failure that often lead to hospitalization or an emergency department visit. On this page, we will use ADHF for all acute heart failure syndromes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There are different types of heart failure and different stages, which help doctors decide how to treat your ADHF. Precise diagnosis of heart failure and customized treatment for your condition are reasons more patients in Louisville and Southern Indiana entrust&nbsp;<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/\">Norton Heart &amp; Vascular Institute<\/a>&nbsp;with their heart failure care than any other provider in the area.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Our team of board-certified and fellowship-trained specialists and advanced practice providers at the Norton Heart &amp; Vascular Institute&nbsp;<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/programs\/heart-failure\/\">Advanced Heart Failure &amp; Recovery Program<\/a>&nbsp;has the experience and expertise to diagnose the progress of your heart failure and provide treatments including lifestyle guidance, medication, mechanical circulation devices and evaluation for heart transplants. Our program is a member of the UK Gill Heart &amp; Vascular Institute Affiliate Network. That means that when a heart transplant is needed, our providers work closely with UK HealthCare heart transplant providers to walk each patient through evaluation, testing and the organ transplantation process.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-acute-heart-failure-vs-advanced-heart-failure\">Acute Heart Failure Vs. Advanced Heart Failure<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cHeart failure\u201d makes it sound like the heart has stopped working completely, but that\u2019s not really what\u2019s happening. Heart failure means your heart beats, but it cannot pump blood as well at it should. This results in fatigue, shortness of breath and other symptoms. Heart failure is a condition with no cure, but it can be managed with drugs and other treatments. Many people are<a href=\"https:\/\/test-norton-healthcare-adult.pantheonsite.io\/services-and-conditions\/heart-and-vascular-care\/programs\/heart-failure\/living-with-heart-failure\/\">&nbsp;living with heart failure<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Heart failure can get worse over time, especially if it is not treated properly. Advanced heart failure means the most severe version of the condition.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Acute heart failure means symptoms get worse or develop suddenly. Initially, symptoms are severe. Acute heart failure may follow a heart attack if there has been damage to an area of your heart. It also may be caused by the body suddenly being unable to compensate for chronic heart failure. Sometimes, acute heart failure is severe initially but may last a short time; it does, however, require medical intervention.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-stages-of-heart-failure\">Stages of Heart Failure<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Doctors use classifications of heart failure to understand how to best treat you. These classifications are based on how severe your symptoms are and how much you are limited by them.<\/p>\n\n\n\n<ol class=\"wp-block-list\" type=\"I\"><li>No limits on physical activity: Everyday activities do not cause excess fatigue, increased heart rate or shortness of breath.<\/li><li>Slight limits on physical activity: Physical activity results in fatigue, increased heart rate or shortness of breath. You are comfortable while resting.<\/li><li>Definite limits on physical activity: Minor activity causes fatigue, increased heart rate or shortness of breath.<\/li><li>&nbsp;Unable to do any physical activity without discomfort: Heart failure symptoms continue even while resting. Any physical activity causes discomfort to increase.<\/li><\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-decompensated-heart-failure\">Decompensated Heart Failure<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">When something is decompensated in the body, it means there has been a breakdown of a structure (such as an organ or muscle) or system that had been working before. The heart no longer can make up for the failure caused by the breakdown.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If the structure or system is able to continue working, even with the breakdown, it is called compensated heart failure. There are often no symptoms in compensated heart failure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-treatment-for-heart-failure\">Treatment for Heart Failure<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The Norton Heart &amp; Vascular Institute Advanced Heart Failure &amp; Recovery Program helps patients protect and recover heart function using leading-edge technology and medication.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For many people,&nbsp;<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/programs\/heart-failure\/treatment\/\">heart failure treatment<\/a>&nbsp;requires a balance of the right medications, a low-sodium diet and fluid restrictions that can help ease symptoms. Medication can be protective, which means it may help stop further damage to the heart.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some&nbsp;<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/programs\/heart-failure\/treatment\/\">heart failure medications<\/a>&nbsp;may include&nbsp;<a href=\"https:\/\/test-norton-healthcare-adult.pantheonsite.io\/services-and-conditions\/heart-and-vascular-care\/treatments\/neurohormonal-blockade\/\">neurohormonal blockade<\/a>, or other medicines such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Angiotensin-converting enzyme (ACE) inhibitors.<\/strong>&nbsp;These widen blood vessels to lower blood pressure, improve blood flow and decrease workload on the heart. Examples are enalapril, lisinopril and captopril.<\/li><li><strong>Angiotensin II receptor blockers (ARBs)<\/strong>. These have the same benefits as an ACE inhibitor, and may be an alternative for people who cannot tolerate ACE inhibitors. Examples are losartan and valsartan.<\/li><li><strong>Cardiac glycosides<\/strong>. These increase the strength of heart muscle contractions. They can slow the heartbeat and may reduce heart failure symptoms. An example is digoxin.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Your doctor also may want to give your body a chance to recover itself and to prevent further damage. The Norton Heart &amp; Vascular Institute Advanced Heart Failure &amp; Recovery Program uses&nbsp;<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/programs\/heart-failure\/treatment\/\">active monitoring<\/a>&nbsp;to see any changes in your heart rate, blood pressure and other symptoms. An example of active monitoring is the CardioMEMS HF System<strong>.<\/strong>&nbsp;This permanently implanted device transmits data from your heart when you lie on a special pillow daily. If the readings are outside of set parameters, it alerts the team so they can reach out to make changes as needed before you ever feel symptoms. Everyone\u2019s heart failure looks different \u2014 from symptoms and severity to progression and recovery. The team at Norton Heart &amp; Vascular Institute offers high-quality care from board-certified physicians with expertise and training in heart failure recovery.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"card card-callout    \">\n\t<div class=\"card-body\">\n\t\t\n\n<h2 class=\"wp-block-heading\" id=\"h-about-norton-heart-amp-vascular-institute\">About Norton Heart &amp; Vascular Institute<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Norton Heart &amp; Vascular Institute offers advanced care at all of our adult-service hospitals to save hearts and lives.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-awards-and-accreditations\">Awards and Accreditations<\/h2>\n\n\n<div class=\"wp-bootstrap-blocks-row row my-5 justify-content-center align-items-center\">\n\t\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"211\" src=\"https:\/\/nortonadultstg.wpenginepowered.com\/wp-content\/uploads\/Seal-Heart-ACOC-Chest-Pain-Center.png\" alt=\"\" class=\"wp-image-978421\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/Seal-Heart-ACOC-Chest-Pain-Center.png 150w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/Seal-Heart-ACOC-Chest-Pain-Center-107x150.png 107w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"157\" height=\"211\" src=\"https:\/\/nortonadultstg.wpenginepowered.com\/wp-content\/uploads\/Seal-Heart-ACOC-Cath-Lab.png\" alt=\"\" class=\"wp-image-978420\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/Seal-Heart-ACOC-Cath-Lab.png 157w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/Seal-Heart-ACOC-Cath-Lab-112x150.png 112w\" sizes=\"auto, (max-width: 157px) 100vw, 157px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"211\" height=\"211\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/nde_25.png?wsr\" alt=\"\" class=\"wp-image-1160383\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/nde_25.png 211w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/nde_25-150x150.png 150w\" sizes=\"auto, (max-width: 211px) 100vw, 211px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"211\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/gold-plus-badge-150x211-1.png\" alt=\"\" class=\"wp-image-1163192\" style=\"width:170px\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/gold-plus-badge-150x211-1.png 150w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/gold-plus-badge-150x211-1-107x150.png 107w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"162\" height=\"211\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/dnv-gl.png?wsr\" alt=\"\" class=\"wp-image-1160384\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/dnv-gl.png 162w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/dnv-gl-115x150.png 115w\" sizes=\"auto, (max-width: 162px) 100vw, 162px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"237\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-copd-badge-2025-26.png\" alt=\"\" class=\"wp-image-1169656\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-copd-badge-2025-26.png 250w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-copd-badge-2025-26-150x142.png 150w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"262\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-heart-bypass-badge-2025-26.png?wsr\" alt=\"\" class=\"wp-image-1169668\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-heart-bypass-badge-2025-26.png 250w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-heart-bypass-badge-2025-26-143x150.png 143w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"260\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-pacemaker-badge-2025-26.png?wsr\" alt=\"\" class=\"wp-image-1169669\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-pacemaker-badge-2025-26.png 250w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-pacemaker-badge-2025-26-144x150.png 144w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n<\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Five of Norton Healthcare\u2019s&nbsp;<a href=\"https:\/\/nortonadultstg.wpenginepowered.com\/location\/?type=570\">adult-service hospitals<\/a>&nbsp;in Louisville have received Chest Pain Center accreditation from the American College of Cardiology (ACC).<\/li>\n\n\n\n<li>Norton Audubon Hospital has been named a&nbsp;<a href=\"https:\/\/nortonadultstg.wpenginepowered.com\/news\/best-cardiology-hospitals\">HeartCare Center National Distinction of Excellence<\/a>&nbsp;year after year by the American College of Cardiology. This is the only hospital in Louisville to be recognized for this distinction.<\/li>\n\n\n\n<li>Norton Audubon Hospital, Norton Brownsboro Hospital and Norton Hospital all are recognized as having ACC Chest Pain Center with Primary PCI accreditation.<\/li>\n\n\n\n<li>Norton Audubon Hospital earned ventricular assist device accreditation from DNV and the Centers for Medicare &amp; Medicaid Services.<\/li>\n\n\n\n<li>Three of Norton Healthcare\u2019s adult-service hospitals have received the American Heart Association Get With The Guidelines achievement awards for demonstrating commitment to following up-to-date, research-based guidelines for the treatment of heart disease and stroke, ultimately leading to more lives saved, shorter recovery times and fewer readmissions to the hospital.\n<ul class=\"wp-block-list\">\n<li>Norton Audubon Hospital received Gold Plus<\/li>\n\n\n\n<li>Norton Brownsboro Hospital received Gold Plus<\/li>\n\n\n\n<li>Norton Hospital received Silver Plus<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-leading-the-region-in-advanced-care\"><strong>Leading the Region in Advanced Care<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Norton Healthcare is recognized by U.S. News &amp; World Report on its \u201cBest Hospitals\u201d list as No. 1 in the Louisville area, with \u201chigh performing\u201d ratings in chronic obstructive pulmonary disease (COPD), heart bypass surgery and pacemaker implantation through Norton Heart &amp; Vascular Institute.<\/li>\n\n\n\n<li>First in Louisville to implant a dual-chamber leadless pacemaker<\/li>\n\n\n\n<li>First in Louisville to use PASCAL and MitraClip to\u00a0<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/treatments\/mitral-valve-repair\/\">replace and repair heart valves<\/a><\/li>\n\n\n\n<li>First health care system in Louisville to offer CathWorks FFRangio System in a minimally invasive procedure used to treat clogged arteries and advance heart disease<\/li>\n\n\n\n<li>Highest survival rate in the nation for\u00a0<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/programs\/heart-failure\/\">extracorporeal membrane oxygenation (ECMO) interventions<\/a>\u00a0for treating heart failure<\/li>\n\n\n\n<li>Among the highest survival rates in the nation for treatment of cardiogenic shock in heart failure<\/li>\n\n\n\n<li>Over 100 transcarotid artery revascularization (TCAR) procedures performed for heart disease patients<\/li>\n\n\n\n<li>System with the most facilities across the city of Louisville with the ability treat a life-threatening heart attack<\/li>\n\n\n\n<li>More than 100 board-certified physicians and advanced practice providers with specialized heart and vascular training and experience at nearly 30 locations in Louisville and Southern Indiana<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-comprehensive-heart-care-for-the-whole-person\">Comprehensive Heart Care for the Whole Person<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/patient-resources\">Norton Heart &amp; Vascular Institute offers patient resources<\/a>&nbsp;to support you and your family, including free classes for people of all ages who want to improve cardiovascular health or are living with a heart condition.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/programs\/cardiac-rehab\">Cardiac rehabilitation<\/a>: Our cardiac rehabilitation providers are leaders in developing and applying innovative techniques that can help you recover and resume your life.<\/li>\n\n\n\n<li><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/patient-resources\/connecting-hearts-support-group\">Connecting Hearts for Support group<\/a>: The group provides education and support to individuals who have had a heart attack, are living with a heart condition or are at risk for cardiovascular disease.<\/li>\n\n\n\n<li><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/patient-resources\/screenings\">Heart health screenings<\/a>: Prevention is the best way to manage heart disease, and screenings are available to detect early signs of cardiac and vascular disease and identify risk factors.<\/li>\n<\/ul>\n\n\n\t<\/div>\n<\/div>","protected":false},"featured_media":253391,"parent":276,"menu_order":9,"template":"","class_list":["post-1134363","service","type-service","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v27.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Acute heart failure | Norton Healthcare<\/title>\n<meta name=\"description\" content=\"There are several types and stages of heart failure \u2014 acute, chronic, and more. Here\u2019s what you need to know about the differences and treatments.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/services\/acute-heart-failure\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Acute Heart Failure\" \/>\n<meta property=\"og:description\" content=\"There are several types and stages of heart failure \u2014 acute, chronic, and more. 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