Insights into Heart Failure: Q & A Session with an Expert

decodeMR Team
Oct 22
3 min read

Updated: Oct 29

Wishing everyone a very Happy Diwali!

As we celebrate this festival of lights and new beginnings, it is also important to take care of the light that keeps us alive — our heart.

In this episode of Inline, we talk about Heart failure, a condition that develops silently and is often mistaken for other heart problems. Unlike a heart attack, which occurs due to a sudden blockage in the arteries, heart failure develops gradually when the heart becomes too weak or stiff to pump blood efficiently.

We are joined by Dr. Lavanya Narra, a leading Interventional Cardiologist at KIMS Hospital, Hyderabad, India, who explains what heart failure truly means, how it differs from other heart conditions, and the warning signs people should never ignore. She discusses the key risk factors, the importance of early diagnosis, and the challenges patients face in managing this chronic condition.

Dr. Lavanya also shares insights into how modern innovations, such as wearable devices, remote monitoring, and AI-driven tools are reshaping the way heart failure is managed today. Additionally, she highlights the vital role of lifestyle changes, family support, and patient awareness in improving long-term outcomes.

Key Discussion Points

Understanding Heart Failure vs. Heart Attack (0:50)

Heart attack results from blocked arteries depriving the heart of oxygen
Heart failure occurs when the heart muscles weaken and cannot pump enough blood to meet the body’s needs

Common Warning Signs and Symptoms (2:26)

Chronic fatigue, shortness of breath (especially at rest or during sleep), persistent coughing, swelling in legs or feet (edema), rapid weight gain, and loss of appetite
These symptoms differ from regular tiredness as they are persistent and progressive

Major Risk Factors (4:37)

Non-modifiable: Age, congenital heart defects
Modifiable: Hypertension, diabetes, obesity, high cholesterol, smoking, alcohol consumption, and sleep apnea

Heart Failure in Younger Adults (6:26)

Increasingly seen among younger populations due to obesity, smoking, excessive alcohol use, and drug-induced cardiomyopathy
Early lifestyle intervention can prevent long-term cardiac damage

Early Diagnosis and Screening (7:28)

Regular checkups for at-risk individuals, including ECG, echocardiogram, chest X-ray, and blood tests such as NT-proBNP
Early detection and intervention can significantly slow disease progression and improve quality of life

Challenges in Long-Term Management (9:04)

Patients often struggle with medication adherence, dietary restrictions (especially fluid and salt), and maintaining follow-ups
Adequate family support and physician counseling are critical for better outcomes

Role of Technology and Innovation (11:36)

Remote monitoring via pacemakers and implantable devices
Wearables for tracking heart rate and activity.
Mobile apps and smart pillboxes for medication reminders and symptom tracking
Teleconsultations for easier access to healthcare professionals

Emotional and Psychological Support (13:50)

Counseling and encouragement help patients cope with the chronic nature of heart failure and stay motivated to follow treatment plans

Advice for Newly Diagnosed Patients (14:13)

Take prescribed medications regularly
Restrict salt and water intake as advised
Monitor weight and blood pressure daily
Control diabetes and quit smoking
Stay physically active within comfort limits and attend regular follow-ups

Take-Home Messages

Heart failure is not the same as a heart attack—it is a chronic, manageable condition with the right care
Recognize symptoms early—persistent coughing, swelling in the legs, and breathlessness should not be ignored
Lifestyle changes matter—a balanced diet, limited salt and fluid intake, and avoiding smoking/alcohol can drastically improve outcomes
Technology can empower patients—use health devices and teleconsultation to stay proactive
Support systems are essential—family encouragement and medical guidance go a long way in improving adherence and quality of life
With awareness, discipline, and care, heart failure patients can live active and fulfilling lives

About Dr. Lavanya Narra

Dr. Lavanya Narra is a renowned Interventional Cardiologist at KIMS Hospitals, Kondapur, Hyderabad, recognized for her expertise in managing acute and chronic heart failure and performing advanced cardiac interventions. Dr. Narra’s clinical proficiency includes coronary angiography, angioplasty, stenting, pacemaker implantation, and complex coronary interventions using advanced imaging techniques like IVUS and OCT. She actively contributes to academia, with over 20 peer-reviewed publications, conference presentations, and textbook chapters. A Fellow of the American College of Cardiology, she is also a member of the Heart Failure Association of India and the European Society of Cardiology, reflecting her dedication to advancing global cardiac care.

Linkedin: linkedin.com/in/lavanya-narra-aa6a35269

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