Treatment FAQ

what is treatment for congestive heart failure

by Alice Jacobi Published 2 years ago Updated 2 years ago
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Doctors usually treat heart failure with a combination of medications. Depending on your symptoms, you might take one or more medications, including: Angiotensin-converting enzyme (ACE) inhibitors. These drugs relax blood vessels to lower blood pressure, improve blood flow and decrease the strain on the heart.Dec 10, 2021

Medication

What is the Best Treatment for Congestive Heart Failure ? Vasodilators increase blood vessels, ease blood flow, and reduce blood strain. ACE inhibitors or ARB pills improve heart function and lifestyles expectancy. Your Congestive Heart Failure Treatment plan may additionally include: Lifestyle adjustments Medications Devices and surgical procedures

Procedures

Congestive Heart Failure Treatment. The Advanced Heart Failure Center at UPMC's Heart and Vascular Institute specializes in the treatment of people with congestive heart failure (CHF). Depending on the severity of the disease and your general health, our group crafts a course of treatment to meet one of three goals: Recovery

Nutrition

Apr 29, 2017 · Successful treatment depends on your willingness to get involved in managing the condition. You, your loved ones and your caregivers all play an active role as part of the healthcare team. View an animation of heart failure . Your treatment plan may include: Lifestyle changes Medications Devices and surgical procedures Ongoing care

How do you treat congestive heart failure naturally?

Sep 16, 2021 · What Therapies Does Dr Weil Recommend For Congestive Heart Failure. If you smoke, quit. Tobacco has direct and damaging effects on the cardiovascular system. Avoid salt. Sodium promotes fluid retention. Avoid high-sodium foods, heavily processed foods and unnecessary salt. Take your prescribed ...

What are the phases of treating heart failure?

Jul 20, 2021 · Medications to treat stage C heart failure include: 1 Diuretics to reduce fluid retention Digoxin to help the heart beat stronger and more regularly Beta blockers to help your heart beat stronger Entresto (sacubitril and valsartan), which reduces the risk of death and hospitalization among patients with chronic heart failure

Is it possible to fix the worst heart disease?

Oct 05, 2020 · Congestive heart failure treatments consist of lifestyle changes, medications, and, in more advanced cases, device therapy, surgery, or heart transplantation. If heart failure is due to an underlying cause, the treatment plan will focus on controlling or reversing that cause. Lifestyle changes

What is the prognosis for Stage 3 heart failure?

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What is the most common treatment for congestive heart failure?

Surgery. 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.

How long can you survive with congestive heart failure?

The life expectancy for congestive heart failure depends on the cause of heart failure, its severity, and other underlying medical conditions. In general, about half of all people diagnosed with congestive heart failure will survive five years. About 30% will survive for 10 years.Oct 5, 2020

Can someone with congestive heart failure recover?

Although there is no cure for heart failure, it's important to manage the condition with medication and lifestyle changes to prevent it from worsening. In order to improve life expectancy while living with congestive heart failure, you should know the different stages of the disease and what to do after diagnosis.Jul 18, 2018

What are the 4 stages of congestive heart failure?

There are four heart failure stages (Stage A, B, C and D). The stages range from "high risk of developing heart failure" to "advanced heart failure."...Stage CShortness of breath.Feeling tired (fatigue).Less able to exercise.Weak legs.Waking up to urinate.Swollen feet, ankles, lower legs and abdomen (edema).Jan 21, 2022

How much water should you drink if you have congestive heart failure?

Your health care provider may ask you to lower the amount of fluids you drink: When your heart failure is not very bad, you may not have to limit your fluids too much. As your heart failure gets worse, you may need to limit fluids to 6 to 9 cups (1.5 to 2 liters) a day.Jun 25, 2020

What are the signs of worsening heart failure?

Signs of Worsening Heart FailureShortness of breath.Feeling dizzy or lightheaded.Weight gain of three or more pounds in one day.Weight gain of five pounds in one week.Unusual swelling in the legs, feet, hands, or abdomen.A persistent cough or chest congestion (the cough may be dry or hacking)More items...

What are the main causes of congestive heart failure?

What causes congestive heart failure?high levels of cholesterol and/or triglyceride in the blood.high blood pressure.poor diet.a sedentary lifestyle.diabetes.smoking.being overweight or obese.stress.

Is heart failure painful?

Abstract. Background: Patients with advanced heart failure (HF) have high rates of pain and other symptoms that diminish quality of life.

How quickly does heart failure progress?

Symptoms can develop quickly (acute heart failure) or gradually over weeks or months (chronic heart failure).

What is the first stage of congestive heart failure?

Congestive heart failure stagesStageMain symptomsClass 1You don't experience any symptoms during typical physical activity.Class 2You're likely comfortable at rest, but normal physical activity may cause fatigue, palpitations, and shortness of breath.2 more rows

How do they remove fluid from congestive heart failure?

What is pericardiocentesis? Pericardiocentesis is a procedure done to remove fluid that has built up in the sac around the heart (pericardium). It's done using a needle and small catheter to drain excess fluid. A fibrous sac known as the pericardium surrounds the heart.

What are the beginning stages of congestive heart failure?

SymptomsShortness of breath with activity or when lying down.Fatigue and weakness.Swelling in the legs, ankles and feet.Rapid or irregular heartbeat.Reduced ability to exercise.Persistent cough or wheezing with white or pink blood-tinged mucus.Swelling of the belly area (abdomen)More items...•Dec 10, 2021

What is the best medication for heart failure?

Hydralazine and isosorbide dinitrate (BiDil). This drug combination helps relax blood vessels. It may be added to your treatment plan if you have severe heart failure symptoms and ACE inhibitors or beta blockers haven't helped. Vericiguat (Verquvo).

What to do if you think you have heart failure?

If you think you may have heart failure or you are worried about your heart failure risk because of other underlying conditions, make an appointment with your family doctor. If heart failure is found early, your treatment may be easier and more effective.

What are some medications that can't be tolerated?

They may be an option for people who can't tolerate ACE inhibitors. Beta blockers. These drugs slow your heart rate and reduce blood pressure. Beta blockers may reduce signs and symptoms of heart failure, improve heart function, and help you live longer.

What is palliative care?

Palliative care is specialized medical care that focuses on easing your symptoms and improving your quality of life. Anyone who has a serious or life-threatening illness can benefit from palliative care, either to treat symptoms of the disease, such as pain or shortness of breath, or to ease the side effects of treatment, such as fatigue or nausea.

What is CT scan for kidneys?

In a cardiac CT scan, you lie on a table inside a doughnut-shaped machine. An X-ray tube inside the machine rotates around your body and collects images of the heart and chest. Sometimes, contrast is given. Because the contrast agent could affect kidney function, talk to your doctor if you have kidney problems.

What is the purpose of an echocardiogram?

An echocardiogram can be used to measure ejection fraction, which shows how well the heart is pumping and helps classify heart failure and guides treatment. Stress test.

What tests are done after a physical exam?

After the physical exam, your doctor may also order some of these tests: Blood tests. Blood tests are done to look for signs of diseases that can affect the heart. Chest X- ray. X-ray images can show the condition of the lungs and heart. Electrocardiogram (ECG).

How to heal heart failure?

Recovery. Lifestyle changes — such as quitting smoking, exercising, and managing your diet — can all help ease the workload of your heart. Medical management — the mainstay of heart failure treatment — provides the recovery path leading to healing of the heart. Repair.

What causes congestive heart failure?

Congestive heart failure (CHF) is often the result of severe coronary artery disease, which decreases blood flow to the heart. Pulmonary hypertension — a buildup of pressure in the blood traveling from the heart to the lungs — can also cause CHF. Other causes of CHF often may include:

What is VAD in heart surgery?

The VAD allows them to recover and wait at home for an organ to become available. Bridge to recovery. In some cases of heart failure — particularly newly diagnosed CHF or heart failure after other cardiac surgery — the heart may recover after a period of support on a VAD.

What is a VAD in UPMC?

Heart transplants — As one of the first medical centers to perform heart transplants, UPMC's experience and expertise are known the world over. Ventricular assist devices (VADs) — In many cases, a VAD is the best treatment solution. They work mechanically to support the heart or augment the circulation of blood.

What is the cause of a build up of fluid in the lungs?

Congestive heart failure (CHF) usually develops slowly, as the heart tries to compensate for its loss of function. The heart’s weak pumping action causes a build-up of fluid, or congestion, in the lungs and other body tissues. As CHF progresses, the heart becomes weaker and symptoms begin. Congestive heart failure symptoms.

What is the phone number for UPMC?

Certain kinds of infections. For an appointment with an expert at UPMC's Advanced Heart Failure Center, call the Heart and Vascular Institute at 1-855-876-2484 or complete an appointment request form.

How much weight can you gain with congestive heart failure?

These self-management skills include: Weighing yourself and recording your weight daily, reporting any gains of more than 2-3 pounds over two days or 4-5 pounds over one week to your doctor.

What is clinical trial?

Clinical trials. Clinical trials are scientific studies that determine if a possible new medical advance can help people and whether it has harmful side effects. Find answers to common questions about clinical trials in our Guide to Understanding Clinical Trials.

Can heart failure be cured?

Heart failure caused by damage to the heart that has developed over time can’t be cured. But it can be treated, quite often with strategies to improve symptoms. Successful treatment depends on your willingness to get involved in managing the condition.

How The Heart Works

The heart is comprised of four chambers: the right atrium, the right ventricle, the left atrium, and the left ventricle. There are valves between these chambers that regulate blood flow through the heart. In a normally functioning heart, the veins of the body deliver deoxygenated blood through the right atrium into the right ventricle.

What Is An Ejection Fraction

An ejection fraction is a measurement of the blood pumped out of your heart with each beat, expressed in a percentage. It can be measured using an echocardiogram , multigated acquisition scan, nuclear stress test,;magnetic resonance imaging ,;or during a cardiac catheterization. A normal ejection fraction is between 55% and 70%.

Stages Of Heart Failure

In 2001, the American Heart Association and American College of Cardiology described the “Stages of Heart Failure.” These stages, which were updated in 2005, will help you understand that heart failure is often a progressive condition and can worsen over time.

What Is Heart Failure

Heart failure doesnât mean the heart has stopped working. Rather, it means that the heart works less efficiently than normal. Due to various possible causes, blood moves through the heart and body at a slower rate, and pressure in the heart increases. As a result, the heart canât pump enough oxygen and nutrients to meet the body’s needs.

Hypertension Or High Blood Pressure

Another cause of congestive heart failure is high blood pressure or hypertension. If you have high blood pressure, your heart muscle works extra hard to pump blood through your body.;

Women And Heart Failure

Women are just as likely as men to develop heart failure, but there are some differences:

What Causes Heart Failure

Heart failure is caused by many conditions that damage the heart muscle, including:

Stage A

Stage A is considered the first stage of CHF. Technically, people in this stage are considered “pre-heart failure.” 1 This means that you are at higher risk of developing CHF because of your family history, personal health history, and lifestyle choices.

Stage B

Stage B is the second stage of heart failure, but it’s still considered pre-heart failure. You don’t have symptoms of heart failure, but you may have been diagnosed with systolic left ventricular dysfunction, which is reduced power in the left ventricle of your heart.

Stage C

Stage C is the first significant stage of heart failure in terms of how you feel. At this stage, you have been officially diagnosed with heart failure and have or had symptoms. Symptoms in this stage include: 2

Stage D

Stage D is advanced or severe heart failure. At this point, medications and other treatments don’t offer much relief from symptoms. Your symptoms are similar to those in stage C, but more severe. It may be difficult to do much physically without becoming severely tired or out of breath. 1

Prevention

Heart failure is a chronic, progressive disease. Once you have reached a certain stage, you may be able to slow its progression, but you can’t undo damage that has already been done to the heart. For this reason, prevention is a key strategy, especially for people with risk factors of CHF.

Frequently Asked Questions

In the end stages of heart failure, most physical activities will become difficult. You will likely require frequent or prolonged hospitalization or need home health or skilled nursing care. You may also need to wear oxygen or receive intravenous medications.

Summary

Congestive heart failure is a chronic condition that can progress. The stages range from pre-heart failure to advanced heart failure. Once you move on to the next stage, you can’t go back even with treatment.

How to treat heart failure?

More advanced heart failure may be treated by drugs that widen blood vessels or help maintain normal heart rhythm.

Why are medications used for heart failure?

Medications are used in combination to manage the effects of heart failure such as fluid retention, swelling, vasoconstriction, and increased heart rate. In more advanced cases, medications are used to maintain a normal heart rhythm or to keep heart failure patients alive before surgery or heart transplant.

What is the name of the condition where the heart does not pump enough blood to the rest of the body?

Congestive heart failure (CHF) is a complex, progressive condition in which the heart does not pump enough blood to the rest of the body. The heart chambers that pump blood out are called the ventricles. The right ventricle pushes blood into the lungs where it picks up oxygen.

How is congestive heart failure diagnosed?

Congestive heart failure is diagnosed primarily from a history and a physical examination. A primary care physician may be the first healthcare professional to recognize symptoms during a routine physical, but a cardiologist will make the final diagnosis.

What is left sided heart failure?

Left-sided heart failure with preserved ejection fraction, or diastolic heart failure, describes conditions in which the ventricle is too stiff to sufficiently relax when they fill with blood, resulting in too little blood in the ventricle to pump out.

What causes congestive heart failure?

It can be caused by any number of conditions affecting the heart muscle, heart valves, blood vessels, or metabolism, including. Heart attack. High blood pressure. Coronary artery disease.

Which ventricle is responsible for supplying oxygenated blood to the rest of the body?

The left ventricle pushes oxygenated blood out to the rest of the body to supply cells and tissues with needed oxygen. Congestive heart failure is largely a condition of the left ventricle , but the right ventricle might also be affected—usually as a result of left ventricular dysfunction.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Generally the treatment helps to reduce the symptoms but the specializing treatment depends on the progress of the disease.
Medication

Angiotensin-converting enzyme (ACE) inhibitors: Converting enzyme inhibitors (ACE inhibitors)helps to open narrowed blood vessels.

Benazepril . Captopril . Enalapril


Beta blockers: To reduce blood pressure and slow down heart rate.

Acebutolol . Atenolol . Bisoprolol


Diuretics: To reduce fluid content in the body.

Metolazone . Indapamide . Hydrochlorothiazide

Procedures

Coronary artery bypass graft (CABG): Correcting blocked coronary arteries using arteries from other areas of the body.

Heart valve surgery: Damaged valve is replaced or repaired. It could be either an invasive or a non-invasive procedure.

Implantable left ventricular assist device (LVAD) placement: Surgically inserting a battery-operated, mechanical pump-like device into the left ventricle.

Heart transplant: Advised in extreme cases when all other treatment options fail.

Nutrition

Foods to eat:

  • Eat a healthy and nutritious diet
  • Include fiber-rich food
  • Limit fatty and sugary foods
  • Include low fat or fat-free foods
  • Limit your salt and sodium intake
  • Quit alcohol

Foods to avoid:

  • High cholesterol foods
  • Foods rich in salty and sugary

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.

Coping and Support

  • There’s no one test to diagnose heart failure. Your doctor will consider your medical history, family history, a physical exam and the results of various tests. These tests can include: 1. Electrocardiogram (EKG):A painless test that gives information about your heart’s electrical activ…
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