Treatment FAQ

what is recommended treatment plan for a patient with cardiomyopathy and congestive heart failure

by Alverta Hettinger Published 3 years ago Updated 2 years ago

Many medications are used to treat cardiomyopathy. Your health care professional may prescribe medicines to: Lower your blood pressure. ACE inhibitors, angiotensin II receptor blockers, beta blockers and calcium channel blockers are examples of medicines that lower blood pressure.

Full Answer

What is the best treatment plan for cardiomyopathy?

P's condition is a combination of nutritional therapy and medication or other treatments. This plan is seemingly the most suitable for the condition since treatment of cardiomyopathy is essentially similar to the treatment of chronic or congestive heart failure (Goswami, Ooi & Suleman, 2014).

What is congestive heart failure/cardiomyopathy?

Congestive Heart Failure/Cardiomyopathy. Three forms of cardiomyopathy are: Hypertrophic cardiomyopathy is an uncommon, often familial, condition that involves abnormal thickening of the left ventricle and stiffening of the heart, due to a genetic mutation in key proteins involved in heart muscle contraction.

What are the treatment options for heart failure?

Treatment 1 Lifestyle changes. These are the same changes as those for preventing heart failure. ... 2 Surgical procedures. In more severe cases, surgery is required to open or bypass blocked arteries, or to replace heart valves. 3 Other treatments. ...

What is the first line of therapy for hypertrophic cardiomyopathy?

Steve R. Ommen: For patients who have symptoms due to hypertrophic cardiomyopathy, the first line of therapy is always to use medical management, medications. Usually, that's adding specific medications, but sometimes patients are on medications that can make their situation worse.

What is the most common treatment for congestive heart failure?

Medicines are the main treatment for heart failure, but for some people surgery may help. Operations that can help with heart failure include: heart valve surgery. a coronary angioplasty or bypass.

What is the most common treatment for cardiomyopathy?

Treatment options for cardiomyopathyLifestyle changes. Stopping alcohol use. Monitoring salt intake.Medicines. Lower blood pressure. ... Surgically implanted device that helps maintain proper heart rhythm.Ablation procedure. Removes extra heart tissue to reduce thickening. ... Heart transplant (for a severely damaged heart)

How do you treat someone with cardiomyopathy?

No matter which type of heart failure your loved one is experiencing, the tips for helping with their care are largely the same.Advocate and listen. ... Promote exercise and physical activity. ... Understand how to manage medications. ... Know how to monitor symptoms. ... Remember to look after yourself. ... Find a support group. ... Ask for help.More items...•

What is the main goal or treatment for a patient with heart failure?

The goal of treatments for heart failure is to relieve symptoms; reduce the chances that you will develop complications; and slow, stop, or reverse the progression of the underlying process.

Is cardiomyopathy the same as congestive heart failure?

In congestive cardiomyopathy, also called dilated cardiomyopathy, the heart becomes stretched and weakened and is unable to pump effectively. Heart failure occurs when the heart does not pump strongly enough to meet the needs of the body.

How do you improve congestive heart failure?

Limit foods high in trans fat, cholesterol, and sugar. Reduce total daily intake of calories to lose weight if necessary. Exercise regularly. A regular cardiovascular exercise program, prescribed by your doctor, will help improve your strength and make you feel better.

What are some nursing interventions for congestive heart failure?

Nursing InterventionMaintain strict fluid intake and output measurements.Monitor daily weights.Assess for edema and severe diaphoresis.Monitor electrolyte values and hematocrit level.Maintain strict fluid restrictions as prescribed.

What can a nurse do for a patient with heart failure?

In both inpatient and outpatient settings, nursing interventions for the patient with heart failure include the following: administer medications and assess the patient's response to them. assess fluid balance, including intake and output, with a goal of optimizing fluid volume.

What is the best treatment for hypertrophic cardiomyopathy?

Medications to treat hypertrophic cardiomyopathy and its symptoms might include:Beta blockers such as metoprolol (Lopressor, Toprol-XL), propranolol (Inderal, Innopran XL) or atenolol (Tenormin)Calcium channel blockers such as verapamil (Verelan, Calan SR,) or diltiazem (Cardizem, Tiazac)More items...•

What is first line treatment for heart failure?

After a patient has been diagnosed with a type, stage, and class, treatment can be determined. First-line drug therapy for all patients with HFrEF should include an angiotensin-converting enzyme (ACE) inhibitor and beta blocker. These medications have been shown to decrease morbidity and mortality.

What would be the primary goal of therapy for a client with congestive heart failure?

The goals of heart therapy are to: Relieve symptoms and improve quality of life. Slow disease progression. Reduce the need for emergency room visits and hospitalization.

What is the best treatment for heart disease?

In general, treatment for heart disease usually includes: Lifestyle changes. You can lower your risk of heart disease by eating a low-fat and low-sodium diet, getting at least 30 minutes of moderate exercise on most days of the week, quitting smoking, and limiting alcohol intake. Medications.

Are there any new treatments for cardiomyopathy?

May 6, 2019 — The U.S. Food and Drug Administration (FDA) approved tafamidis meglumine (Vyndaqel) and tafamidis (Vyndamax) capsules for the treatment of the cardiomyopathy caused by transthyretin mediated amyloidosis (ATTR-CM) in adults. These are the first FDA-approved treatments for ATTR-CM.

Can you live a long life with cardiomyopathy?

With proper care, many people can live long and full lives with a cardiomyopathy diagnosis. When recommending treatment, we always consider the least invasive approach first. Options range from lifestyle support and medications to implantable devices, procedures, and surgeries.

What is the life expectancy of someone with cardiomyopathy?

The majority of patients with hypertrophic cardiomyopathy have no symptoms and most have a near-normal life expectancy. In some cases, sudden cardiac death is the first symptom of the illness. Patients who have symptoms at a younger age often have higher mortality rates.

How can I improve my cardiomyopathy?

Other lifestyle changesQuitting smoking.Losing excess weight.Avoiding alcohol and illegal drugs.Getting enough sleep and rest.Reducing stress.Treating underlying conditions, such as diabetes and high blood pressure.

What is the best treatment for cardiomyopathy?

This small device placed under the skin in the chest or abdomen uses electrical impulses to control arrhythmias. Types of surgery used to treat cardiomyopathy include: Septal myectomy.

What to do if you think you have cardiomyopathy?

Preparing for your appointment. If you think you may have cardiomyopathy or are worried about your risk, make an appointment with your primary care doctor. He or she may refer you to a heart specialist (cardiologist). Here's information to help you get ready for your appointment.

What type of surgery is used to treat cardiomyopathy?

Types of surgery used to treat cardiomyopathy include: Septal myectomy. In this open-heart surgery, your surgeon removes part of the thickened heart muscle wall (septum) that separates the two bottom heart chambers (ventricles).

What to do when you have a cardiomyopathy appointment?

Be aware of any pre-appointment restrictions. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. Make a list of: Your symptoms, including any that may seem unrelated to cardiomyopathy, and when they began.

What is a cardiac catheterization?

A cardiac catheterization can reveal blockages in your blood vessels. During this test, doctors can remove a small tissue sample (biopsy) from your heart for analysis in the laboratory. Cardiac MRI. This test uses magnetic fields and radio waves to create images of your heart.

What is the test for heart valves?

This test checks your heart valves and helps your doctor determine the cause of your symptoms. Electrocardiogram (ECG). In this noninvasive test, electrode patches are attached to your skin to measure electrical signals from your heart. An ECG can show disturbances in the electrical activity of your heart, which can detect abnormal heart rhythms ...

What tests can be done to confirm cardiomyopathy?

If your doctor thinks you have cardiomyopathy, several tests may be done to confirm the diagnosis, including: Chest X-ray. An image of your heart will show whether it's enlarged. Echocardiogram. This test uses sound waves to create images of the heart, which show its size and its motions as it beats. This test checks your heart valves and helps ...

What are the goals of cardiomyopathy?

When treating cardiomyopathy, objectives include: Stopping the disease from getting worse. Managing any conditions that cause or contribute to the disease. Reducing complications and the risk of sudden cardiac arrest (SCA) Controlling symptoms so that you can live as normally as possible.

What is the best medicine to slow down your heart rate?

Beta blockers, calcium channel blockers, and digoxin are examples of medicines that slow the heart rate. Beta blockers and calcium channel blockers also are used to lower blood pressure. Keep your heart beating with a normal rhythm. These medicines, called antiarrhythmics, help prevent arrhythmias (irregular heartbeats).

What are the medicines that help prevent arrhythmias?

These medicines, called antiarrhythmics, help prevent arrhythmias (irregular heartbeats). Balance electrolytes in your body. Electrolytes are minerals that help maintain fluid levels and the acid-base balance in your body. Electrolytes also help muscle and nerve tissues work properly.

What is a heart transplant?

Heart Transplant – In a heart transplant surgery, a person’s diseased heart is replaced with a healthy donor heart. A heart transplant is a last resort for people who have end-stage heart failure. (“End-stage” means that all other treatment options have been explored, without success.)

How to lower blood pressure?

Choose and prepare foods with little salt (sodium). Too much salt can raise your risk of high blood pressure. Studies show that following a Dietary Approaches to Stop Hypertension (DASH) eating plan can lower blood pressure. Choose foods and beverages that are low in added sugar. Avoid drinking alcohol.

Can you prevent cardiomyopathy?

You cannot prevent inherited types of cardiomyopathy. But you can take steps to lower your risk for conditions that may lead to (or complicate) cardiomyopathy, such coronary heart disease, high blood pressure and heart attack . Cardiomyopathy can be precipitated by an underlying disease or condition.

Does dilated cardiomyopathy go away?

Sometimes, dilated cardiomyopathy that comes on suddenly may even go away on its own. In other instances, treatment is needed. Treatment hinges on a few factors: the type of cardiomyopathy, the severity of your symptoms and complications as well as your age and overall health.

How to treat hypertrophic cardiomyopathy?

Usually this requires taking a beta blocker or calcium channel blocker. A medication to prevent abnormal heart rhythms may also be needed.

What test is used to diagnose cardiomyopathy?

Occasionally, a test called an endomyocardial biopsy is necessary.

What causes a thickening of the heart muscle?

an inherited condition called hypertrophic cardiomyopathy which causes a thickening of the heart muscle, especially the wall between the two ventricles. In severe cases, the extra muscle obstructs the passage of blood out of the heart and may cause fainting or even sudden death.

What is the term for a heart disease that causes a heart muscle to weaken?

Any heart disease in which the heart muscle (myocardium) weakens can be known as cardiomyopathy . This broad term covers many conditions, all of which result in injury to the heart muscle and impaired heart function. Cardiomyopathy often leads to heart failure.

Why is myocarditis dangerous?

Cardiomyopathy can be caused by: myocarditis, an inflammation of the heart muscle, often due to a viral infection or a chronic inflammatory condition such as lupus.

What is the test called for a heart biopsy?

Occasionally, a test called an endomyocardial biopsy is necessary. In this test, a catheter is inserted into a vein in the neck and passed down into the heart. A small piece of the inner heart wall is removed using a tiny metal device at the tip of the catheter.

Can you get alcoholic cardiomyopathy from drinking?

There are treatments for all forms of cardiomyopathy, including the two most common causes of symptoms: heart failure and abnormal heart rhythms. People who have alcoholic cardiomyopathy seem to be particularly sensitive to the effects of alcohol; giving up drinking alcohol is the most important step in treating the condition.

What is congestive heart failure?

Dr. Steven Jones. Congestive heart failure (also called heart failure) is a serious condition in which the heart doesn’t pump blood as efficiently as it should . Despite its name, heart failure doesn’t mean that the heart has literally failed or is about to stop working. Rather, it means that the heart muscle has become less able to contract ...

How to improve heart health?

Here are some of the things you’ll want to do in addition to sticking to the lifestyle changes that can improve the health of a damaged heart: Monitor your symptoms. Heart failure worsens over time, so you need to be familiar with changes in your body. Some of these can be addressed with different medications.

What type of pacemaker is used for congestive heart failure?

Some congestive heart failure patients are candidates for a type of pacemaker called biventricular pacing therapy , which helps both sides of the heart work in concert, or an implantable cardioverter defibrillator, which shocks the heart into converting a potentially fatal fast rhythm to a normal one.

Why are African Americans at increased risk of congestive heart failure?

Among their recent findings: African-Americans are at increased risk of congestive heart failure. This is due to diabetes and high blood pressure, rather than race alone.

How many people have congestive heart failure?

With or without treatment, heart failure is often and typically progressive, meaning it gradually gets worse. More than 5 million people in the United States have congestive heart failure. It’s the most common diagnosis in hospitalized patients over age 65. One in nine deaths has heart failure as a contributing cause.

What tests are done to determine if you have had a heart attack?

Your doctor will consider your medical history, family history, a physical exam and the results of various tests. These tests can include: Electrocardiogram (EKG): A painless test that gives information about your heart’s electrical activity, including how fast it beats and whether you’ve had previous heart attacks.

What are some ways to reduce blood pressure?

Eat in heart-healthy ways. The foods that help you are those that contain little saturated fat, trans fat, sugar or sodium. Think fruits and vegetables, low-fat dairy, lean protein such as chicken without the skin, and “good” fats such as those found in olive oil, fish and avocadoes.

What is congestive heart failure?

Congestive heart failure (or simply, “heart failure”) is a medical condition in which the heart fails to sufficiently pump oxygenated blood needed by the body's other organs. The heart continues to pump, but not as efficiently as a healthy heart. This condition, which affects nearly six million Americans, ...

How to reduce workload on the heart?

Dilate blood vessels and reduce the workload on the heart. Decrease pressure inside the blood vessels. Reduce fluid in the body. Help the heart beat stronger and more regularly. Read about medications used in the treatment of heart failure/cardiomyopathy.

What is the name of the condition that involves abnormal thickening of the left ventricle and stiffening of

Three forms of cardiomyopathy are: Hypertrophic cardiomyopathy is an uncommon, often familial, condition that involves abnormal thickening of the left ventricle and stiffening of the heart, due to a genetic mutation in key proteins involved in heart muscle contraction.

Why does my heart feel stiff?

Restrictive cardiomyopathy occurs when the heart muscle becomes stiff due to progressive fibrosis or accumulation of abnormal substances and is unable to properly fill with blood.

What causes shortness of breath and a cough?

This condition, which affects nearly six million Americans, may lead to symptoms such as shortness of breath, swelling of the legs and ankles, fatigue and weakness, loss of appetite and a persistent cough. Common causes of heart failure include high blood pressure, adult congenital heart disease, coronary artery disease and valvular heart disease. ...

What is the goal of hypertrophic cardiomyopathy?

The goal of hypertrophic cardiomyopathy treatment is to relieve symptoms and prevent sudden cardiac death in people at high risk. Your specific treatment depends on the severity of your symptoms. Together, you and your doctor will discuss the most appropriate treatment for your condition.

What test is used to diagnose hypertrophic cardiomyopathy?

Echocardiogram. An echocardiogram is commonly used to diagnose hypertrophic cardiomyopathy. This test uses sound waves (ultrasound) to see if your heart's muscle is abnormally thick.

What is the term for the thickened area of the heart?

In a type called apical myectomy, the thickened area is removed from the area near the tip of the heart. Several different surgeries or procedures are available to treat cardiomyopathy or its symptoms. They range from open-heart surgery to implantation of a device to control your heart rhythm. Septal myectomy.

What is an echocardiogram?

Sometimes, an echocardiogram is done while you exercise, usually on a treadmill. This is called an exercise stress test.

How to write down your symptoms?

Write down your symptoms and how long you've had them. Take a list of all your medications, vitamins or supplements. Write down your key medical information, including other diagnosed conditions. Write down key personal information, including any recent changes or stressors in your life.

Can hypertrophic cardiomyopathy cause normal pregnancy?

Women who have hypertrophic cardiomyopathy can generally have normal pregnancies. However, if you have hypertrophic cardiomyopathy, your doctor may recommend that you see a doctor experienced in caring for women with high-risk conditions during your pregnancy.

Can obstructive hypertrophic cardiomyopathy cause shortness of breath?

Hartzell V. Schaff: The common symptoms that patients have when they have obstructive hypertrophic cardiomyopathy are shortness of breath, angina-like chest pain and syncope.

How to improve heart health?

It is up to you to take steps to improve your heart health. Take your medications as instructed, follow a low-sodium diet, stay active or become physically active, take notice of sudden changes in your weight, live a healthy lifestyle, keep your follow-up appointments, and track your symptoms.

What does it mean when your heart doesn't pump?

It doesn't mean the heart has "failed" or stopped working. It means the heart doesn't pump as well as it should. Heart failure is a major health problem in the United States, affecting about 5.7 million Americans. About 550,000 new cases of heart failure occur each year.

What is the term for a heart muscle that is damaged by a virus?

Cardiomyopathy . Cardiomyopathy is a term that describes damage to and enlargement of the heart muscle not caused by problems with the coronary arteries or blood flow. Cardiomyopathy can occur due to many causes, including viruses, alcohol or drug abuse, smoking, genetics and pregnancy (peripartum cardiomyopathy).

Does heart failure get worse over time?

Symptoms of heart failure can range from mild to severe, and may come and go. In general, heart failure gets worse over time. As it worsens, you may have more or different signs or symptoms. It is important to let your doctor know if you have new symptoms or if your symptoms get worse.

Do women have heart failure?

Women and heart failure. Women are just as likely as men to develop heart failure, but there are some differences: Women tend to develop heart failure later in life compared with men. Women tend to have heart failure caused by high blood pressure and have a normal EF (ejection fraction; see below).

Can heart failure stop you from doing what you enjoy?

With the right care, heart failure will not stop you from doing the things you enjoy. Your prognosis, or outlook for the future, will depend on how well your heart muscle is working, your symptoms and how well you respond to and follow your treatment plan.

Diagnosis

Treatment

  • The goals of cardiomyopathy treatment are to: 1. Manage signs and symptoms 2. Prevent the condition from worsening 3. Reduce the risk of complications The type of treatment depends on the type of cardiomyopathy and its severity.
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • These lifestyle changes can help you manage cardiomyopathy: 1. Quit smoking. 2. Lose weight if you're overweight. Ask your health care provider what a healthy weight is for you. 3. Get regular exercise after talking to your provider about the safest type and amount for you. 4. Eat a healthy diet, including a variety of fruits and vegetables and who...
See more on mayoclinic.org

Preparing For Your Appointment

  • If you think you may have cardiomyopathy or are worried about your risk, make an appointment with your health care provider. He or she may refer you to a heart specialist (cardiologist). Here's information to help you get ready for your appointment.
See more on mayoclinic.org

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9