If your parent has been diagnosed with heart disease, knowing the warning signs of a change is an important part of caregiving. WATCH FOR: Chest discomfort Pressure, squeezing, fullness, or pain in the chest—especially with activity or if it doesn't go away. Shortness of breath New or worsening difficulty breathing, especially during normal activities or when lying down. Unusual fatigue Significantly more tired than usual or unable to do activities they normally manage. Swelling New or worsening swelling in the feet, ankles, legs, or abdomen. Dizziness or fainting Especially when new, recurring, or occurring with activity. Heart racing or irregular heartbeat New pounding, racing, fluttering, or an irregular heartbeat should be discussed with the healthcare provider. A sudden change in ability If your parent suddenly can't walk as far, climb stairs, or perform normal daily activities, pay attention. DON'T IGNORE A SUDDEN CHANGE Heart problems can present differently from person to person. Older adults may not always experience the classic symptoms we expect. Call 911 for severe or persistent chest discomfort, severe difficulty breathing, fainting, or other symptoms that appear life-threatening. RN TIP Know your parent's normal baseline. How far do they normally walk? How easily do they breathe? What activities can they normally do? Knowing their baseline makes it easier to recognize when something has changed. Keep notes about new symptoms, when they occur, and what your parent was doing at the time. This information can be valuable when speaking with the healthcare team. For those caring for a parent with heart disease: What change was the first thing you noticed that made you realize something wasn't right? Share below. Your experience may help another caregiver.