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Cardiac surgeon shares 7 subtle signs of heart failure that most people ignore until too late: Fatigue, bloating, more

Updated on: Nov 9, 2025, 15:01:01 IST
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Heart failure often starts quietly. (Twitter/PsychiatristCNS)
Heart failure often starts quietly. (Twitter/PsychiatristCNS)

Dr Yaranov highlights that heart failure can start quietly. He shares 7 early signs, and stresses the importance of recognising them and seeking timely care.

Heart failure is far more common than most people realise - yet many don’t know how to recognise it. Popular culture has shaped our understanding of it as a dramatic medical emergency - someone clutching their chest and collapsing from sudden pain. But in reality, it rarely begins that way. The early stages of heart failure often creep in quietly, with symptoms so subtle that most people dismiss them as fatigue, poor sleep, or indigestion.

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Dr Dmitry Yaranov, a cardiologist and heart transplant surgeon, specialising in advanced heart failure, heart transplantation, and mechanical circulatory support, is drawing attention to how heart failure often begins silently - with subtle symptoms that many overlook until it’s too late.

In an Instagram video posted on November 9, the cardiac surgeon explains how heart failure first manifests in the body and shares seven subtle signs that your heart may be struggling - warning against ignoring them. He emphasises, “Heart failure can start quietly - especially in younger or active people. Don’t write it off. Don’t wait until it’s obvious.”

Heart failure often starts quietly

According to Dr Yaranov, heart failure can manifest initially as symptoms that people often ignore - feeling tired all the time, blaming it on something you ate, or simply not realising that heart failure could feel like this.

However, he stresses that it can - and it often does. Early heart failure can creep in silently, disguising itself as everyday fatigue, mild breathlessness, or simple indigestion. Recognising these subtle signs early can make all the difference.

The cardiac surgeon explains that most heart failure cases start without any typical symptoms - “No chest pain. No dramatic collapse. Just a body quietly struggling - until it can’t anymore.”

Dr Yaranov lists the following early signs of heart failure. (Image generated via ChatGPT)
Dr Yaranov lists the following early signs of heart failure. (Image generated via ChatGPT)

Heart failure subtle signs

Dr Yaranov lists seven subtle signs of heart failure that he has frequently observed in his patients.

  • Fatigue so deep, caffeine doesn’t touch it.
  • Bloating that doesn’t go away - even without big meals.
  • Clothes fitting tighter around the stomach.
  • Feeling full quickly or skipping meals - but still gaining weight.
  • Needing naps just to get through the day.
  • A subtle, constant shortness of breath.
  • Unexplained weight gain.

The cardiologist urges people to trust their symptoms and seek medical evaluation early, warning against dismissing subtle signs until it’s too late.

Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. It is based on user-generated content from social media. HT.com has not independently verified the claims and does not endorse them.

  • Eshana Saha
    ABOUT THE AUTHOR
    Eshana Saha

    Eshana Saha is a fresh face in lifestyle and cultural journalism, bringing a refined, multidisciplinary perspective to the intersection of entertainment, fashion and holistic wellbeing. With less than a year of professional experience, she has quickly adapted to high-pressure editorial environments and currently works full-time with HT Media. Prior to this, she interned for nearly six months with Hindustan Times’ entertainment and lifestyle vertical, where she gained hands-on experience in digital reporting, trend analysis and editorial storytelling. Based in New Delhi, Eshana specialises in comprehensive coverage of major cultural moments — from international film press tours to the curated aesthetics of global fashion showcases, award shows and music-centred events. She holds a Bachelor’s degree in English from St Xavier’s University, Kolkata, and a Master’s degree in English from the University of Delhi, equipping her with a strong academic foundation and a keen ability to deconstruct complex cultural trends into clear, high-impact narratives. Beyond the red carpet, Eshana has developed a growing focus on health and wellbeing reporting. She bridges the gap between celebrity-driven trends and practical, evidence-informed lifestyle advice, ensuring her work remains both aspirational and grounded in editorial rigour. She has extensively covered the health implications of Delhi’s air pollution crisis, while also playing a key role in amplifying expert-led insights on women’s health and mental wellbeing, helping translate complex medical perspectives into informed, impactful public awareness. An artist at heart, she explores multiple creative forms — from visual arts and music to culinary experiments — and brings a creative’s eye for nuance, texture and detail to every story. Whether analysing runway dynamics or examining emerging wellness movements, she remains committed to accuracy and the highest standards of contemporary journalistic ethics.Read More

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