Heart failure refers to a condition in which the heart’s pumping function deteriorates, making it unable to send enough blood to the rest of the body. It is necessary to investigate the cause of this phenomenon. It is thought to occur as the final stage of many heart diseases. The following diseases are considered to be the cause, namely: ischemic heart disease (myocardial infarction and angina pectoris), hypertensive heart disease, valvular heart disease, cardiomyopathy, and arrhythmias (atrial fibrillation). The initial symptoms are shortness of breath and fatigue. As the symptom progresses, it may include difficulty breathing at rest, nighttime cough/shortness of breath, leg swelling, weight gain, loss of appetite, and fatigue. The diagnosis is basically determined by medical history/physical examination, chest X-ray (cardiomegaly), electrocardiogram, echocardiogram, and blood tests (BNP, NT-proBNP). BNP or NT-proBNP is used as a marker for heart failure. The subject in this study was elderly, had high blood pressure, and suffered from heart failure due to atrial fibrillation. Furthermore, the subject’s atrial fibrillation symptoms worsened, with NT-proBNP levels exceeding 1200 pg/ml, which is approximately 10 times the borderline level of 125 pg/ml. The diagnosis would indicate that the heart failure is quite advanced, based on this information. However, the subject did not exhibit signs of heart failure, such as shortness of breath or chest tightness. Moreover, his pulse rate settled into the 70-80 range. This paper presents a single-case study summarizing findings on heart failure, atrial fibrillation, hypertension, and pulse rate, derived from approximately one year of monitored physiological data from a subject exhibiting atypical characteristics. It is believed this paper will be helpful to patients suffering from similar illnesses.
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