Assalamu alaikum and welcome back to Mani.Plus.

Before a heart gives out, it whispers. In this episode, we explore that very first, often-missed sign that your heart might be struggling. It’s not the dramatic collapse we see in films or the crushing chest pain we imagine — it’s quieter, subtler, and so easy to ignore.

For many people, the earliest sign of heart failure is shortness of breath. It can appear during the simplest activities — climbing stairs, walking to the shop, or even lying flat in bed. The heart, struggling to keep up, causes fluid to build up in the lungs, turning each breath into a fight. That deep breath you’ve always taken for granted suddenly feels harder to find.

Other early signs include fatigue, swelling in the legs or ankles, or a racing heartbeat. But breathlessness is often the first true whisper — your body’s way of saying something is wrong. Too often, it’s dismissed: “I’m just tired,” “I’m getting older,” or “It’s probably a chest infection.” Yet it’s at that exact moment that paying attention could save your life.

In this episode, we break down what’s really happening inside the body when that breathlessness begins. When the left ventricle of the heart weakens, blood starts to back up into the lungs, leading to what doctors call pulmonary congestion. Imagine trying to breathe through a sponge soaked with water — your lungs are working, but they’re struggling against fluid that shouldn’t be there.

To shed light on this, I speak with Dr. Simon Shaw, a cardiologist and heart failure specialist from Wythenshawe Hospital in Manchester. Dr. Shaw explains how early symptoms appear, the tests that confirm heart failure, and how early detection can stop it from progressing to a critical stage. Through his experience, we learn that heart failure doesn’t mean your heart has stopped — it means it’s asking for help.

Then, I share my own story. As a 51-year-old Asian man, my journey began quietly — with tiredness, shortness of breath, and swelling that I ignored for too long. Until one day, I collapsed and learned that my heart’s ejection fraction had fallen to just 15%. That moment changed everything. I was placed on the transplant list, my life hanging between waiting and hope.

This episode is a reminder that heart failure doesn’t happen overnight. It creeps in. It gives you signs — whispers that something isn’t right. And if you listen early enough, you can act before it’s too late.

If you feel unusual fatigue, breathlessness, or swelling, don’t ignore it. Speak to your doctor. Get your heart checked. Early action can save your life or someone you love.

And beyond that, we talk about hope — the hope that comes through organ donation. One donor can save up to eight lives. A single “yes” can give someone decades more to live, to laugh, to love. Please, consider becoming an organ donor.

This is Mani.Plus. I’m Mani, and I thank you for listening — and for keeping your heart open.

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May God bless you with health, peace, and love.
— Mani