Learn about Heart Failure, its Prevention, and Treatment

Heart Failure Symptoms Checklist

General supervisor: Naoki Sato MD, PhD, FESC, FJCC

Director of Cardiovascular Medicine

General Manager of Internal Medicine

Vice-president of Kawaguchi Cardiovascular and Respiratory Hospital

Use this checklist to determine if you have a healthy heart

If two or more of the items below apply to you, we recommend consulting your doctor or a specialist.

  • *Please note that this self-assessment sheet does NOT provide a diagnosis, and is simply designed to provide you with useful checklist to refer to when visiting a medical practitioner. For an accurate diagnosis, please consult your doctor or a specialist.

Checklist 1

Have any of the following issues been raised during a health checkup or consultation?

Checklist 2

Do you have any of the following symptoms?