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Congestive Heart Failure (CHF) is a condition where the heart cannot pump blood effectively throughout the body. It is caused by damage to the heart muscle from coronary artery disease, high blood pressure, heart valve disease, or cardiomyopathy that weakens the heart's pumping ability. The Urea Nitrogen (BUN) test is the most important test for monitoring kidney function in heart failure patients, as reduced blood flow to the kidneys is a critical complication.
Congestive Heart Failure is caused by damage to the heart muscle that weakens its ability to pump blood effectively. The most common causes include coronary artery disease, which blocks blood flow to the heart muscle, high blood pressure that forces the heart to work harder over time, heart valve disease that disrupts normal blood flow, cardiomyopathy (disease of the heart muscle itself), and previous heart attacks that leave scar tissue. Other contributing factors include diabetes, obesity, sleep apnea, and viral infections that damage the heart.
The Urea Nitrogen (BUN) test is the most important blood test for monitoring Congestive Heart Failure because it detects kidney function decline, which is one of the most critical complications of CHF. When the heart cannot pump effectively, blood flow to the kidneys decreases, causing BUN levels to rise. The Potassium, Serum test is also essential because heart failure medications like diuretics and ACE inhibitors can cause dangerous potassium imbalances that lead to irregular heart rhythms. Additionally, the Catecholamines, Fractionated, Plasma test measures stress hormones like epinephrine that your body releases to compensate for poor heart function, helping explain symptoms like shortness of breath and fatigue.
You should get tested if you experience persistent shortness of breath, especially when lying down or with minimal activity, unexplained fatigue that limits your daily activities, rapid weight gain from fluid retention, swelling in your legs, ankles, or abdomen, or a persistent cough that produces pink, frothy mucus. Get tested immediately if you have known heart disease and notice worsening symptoms, if you are taking heart failure medications that require monitoring, or if you have risk factors like high blood pressure, diabetes, or a history of heart attack. Regular blood work is essential for anyone already diagnosed with CHF to monitor kidney function and electrolyte balance.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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