Heart Failure: Symptom Record
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 |
Shortness of breath
| |
Swelling in your legs or ankles
| |
Sudden weight gain
| |
Tiredness or weakness
| |
Dizziness or feeling like you might faint
| |
Not sleeping well
| |
Other symptoms
| |
Credits
Current as of: June 24, 2023
Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Current as of: June 24, 2023
Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.