Heart care

Heart Failure Care and Ongoing Management

Heart failure means the heart is not pumping or filling as well as the body needs. It is a long-term condition, and steady outpatient care can reduce symptoms and help keep people out of the hospital.

Overview

What heart failure means

Heart failure does not mean the heart has stopped. It means the heart muscle is weaker or stiffer than normal, so fluid can back up into the lungs and legs and the body may not get enough blood during activity.

Doctors often describe heart failure by the ejection fraction, the share of blood the left ventricle pumps out with each beat. Heart failure with reduced ejection fraction and heart failure with preserved ejection fraction are treated differently, which is one reason an accurate diagnosis matters.

Who may benefit

When an evaluation can help

  • Shortness of breath with activity or when lying flat
  • Swelling in the ankles, legs or belly
  • Unexplained tiredness, or needing to sleep propped up on pillows
  • Quick weight gain from fluid
  • A recent hospital stay for heart failure, or a weak heart found on an echocardiogram
  • Conditions that raise risk, such as past heart attack, high blood pressure, diabetes or valve disease

These symptoms have several possible causes, including lung, kidney and vein problems. An evaluation helps sort out which one applies to you.

Your visit

What your appointment involves

  1. History and medicinesYour symptoms, daily activity, recent hospital stays, and a careful review of every medicine you take, since several heart failure medicines work together.
  2. ExaminationWeight, blood pressure, heart and lung sounds, and checking for fluid buildup.
  3. TestsOften an ECG, blood tests and an echocardiogram if one has not been done recently.
  4. Finding the causeCoronary disease, valve problems, high blood pressure and rhythm problems can all lead to heart failure. Treating the cause is part of the plan.
  5. A plan you can follow at homeMedicines, daily weights, salt and fluid guidance tailored to you, activity level, and when to call.

Testing

Tests your cardiologist may consider

Common tests in heart failure care
TestWhy it may be used
EchocardiogramMeasures ejection fraction, chamber size and valve function. It is central to diagnosis and follow-up.
ECGLooks for rhythm problems, prior heart attack and other electrical changes.
Blood testsKidney function and potassium, which are affected by heart failure medicines, and other markers your clinician may order.
Stress testing or cardiac catheterizationUsed when coronary artery disease may be the cause.
Heart monitorWhen rhythm problems are suspected.

Treatment

Treatment and management discussions

Heart failure has no cure, but treatment can help many people live longer and more active lives with fewer symptoms. Treatment depends on the type of heart failure and how serious it is.

Medicines

Depending on your type of heart failure, your cardiologist may discuss medicines that remove extra fluid, relax blood vessels, slow the heart rate, or protect the heart muscle over time. Doses are often adjusted gradually at follow-up visits while kidney function, potassium and blood pressure are checked.

Daily habits that matter

Weighing yourself each morning, following the salt and fluid guidance your clinician gives you, staying as active as advised, and treating sleep apnea can all affect symptoms. Your plan should tell you exactly which weight change or symptom means you should call.

Devices and procedures

Some people benefit from an implantable defibrillator or a special pacemaker, treatment of blocked arteries or valve disease, or, for advanced heart failure, referral to a specialized center.

Rehabilitation

Supervised exercise through cardiac rehabilitation can improve exercise ability and quality of life for many people with heart failure.

Your cardiologist

Who you will see

Headshot of Dr. M. Usman Khan, Houston cardiologist

Dr. M. Usman Khan, MD

Dr. Khan manages heart failure in the outpatient setting: confirming the diagnosis, adjusting medicines, ordering follow-up testing and coordinating with your primary care doctor and any hospital team.

Read Dr. Khan’s full profile

Where care happens

Offices and follow-up after a hospital stay

Office visits take place at our three offices. If you were recently discharged from the hospital for heart failure, call the office and mention the discharge so the team can schedule a follow-up visit, and bring your discharge papers and medicine list.

Northwest Houston

17070 Red Oak Dr #405
Houston, TX 77090

Call (832) 432-1951
Office details and directions

Tomball

155 School St Suite 220
Tomball, TX 77375

Call (832) 304-2070
Office details and directions

Sugar Land / Greatwood

6534 Greatwood Parkway Unit A
Sugar Land, TX 77479
Also serves Richmond-area patients

Call (832) 645-8992
Office details and directions

Before you come

Preparing for your visit

  • All of your medicine bottles or an up-to-date list with doses
  • Your daily weight log, if you keep one, and home blood pressure readings
  • Hospital discharge papers and recent echocardiogram and lab reports
  • A list of symptoms and questions
  • Your insurance card and photo ID; if your plan requires a referral, ask your primary care doctor to send it before the visit

See new patient information and the insurance plans we work with.

Questions

Common questions

Can heart failure get better?

For some people, especially when a treatable cause is found, heart function improves with treatment. For others the goal is to stay stable and feel better. Your cardiologist can explain what is realistic in your situation.

Why do I need to weigh myself every day?

A quick weight gain is often the first sign that fluid is building up, before breathing gets worse. Catching it early lets your care team adjust treatment sooner.

How often will I need follow-up?

Visits are often more frequent after a diagnosis, a hospital stay or a medicine change, and less frequent once you are stable. Your clinician will set a schedule with you.

Sources

References

  1. NHLBI. Heart Failure: What Is Heart Failure?
  2. NHLBI. Heart Failure: Treatment
  3. NHLBI. Cardiomyopathy: Treatment

Prepared by the Epic Heart & Vascular Center editorial team. Clinical review by a practice physician is pending for this version. Last updated November 2026.

Next step

Request a heart failure appointment

Submitting the form sends a request. Our team will call you to confirm a time, the office and your insurance. For severe shortness of breath, chest pain or fainting, call 911.

Care is led by Dr. M. Usman Khan, MD, FACC, an interventional and general cardiologist. New patients can review patient information and the insurance plans we accept.

Heart & Vascular Care Close to Home

Book a visit with our board-certified cardiologist at any of our three offices. Our team will call you to confirm your time and insurance.

Houston (NW / Red Oak)
17070 Red Oak Dr #405, Houston, TX 77090
832-432-1951

Tomball
155 School St Ste 220, Tomball, TX 77375
832-304-2070

Sugar Land (Greatwood)
6534 Greatwood Pkwy Unit A, Sugar Land, TX 77479
832-645-8992

For a medical emergency, call 911.

Schedule an Appointment

Fill out the form and our team will contact you to confirm your visit.