Treatment FAQ

what treatment for congestive heart failure

by Silas Hill Sr. Published 3 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

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

Procedures

heart failure, systolic heart failure or diastolic heart failure) the medications commonly prescribed for heart failure are as follows: • ACE inhibitors such as enalapril, lisinopril and captopril which dilate blood vessels to

Nutrition

What are some remedies for congestive heart failure?

What is congestive heart failure and how is it treated?

Can you get rid of congestive heart failure?

How to recover from congestive heart failure?

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What is the best treatment for congestive heart failure?

What is the best medication for congestive heart failure?Best medications for congestive heart failureEntresto (sacubitril/valsartan)Angiotensin receptor-neprilysin inhibitorToprol XL (metoprolol succinate ER)Beta blockerAldactone (spironolactone)DiureticBiDil (isosorbide dinitrate/hydralazine HCL)Nitrate / vasodilator7 more rows•Oct 5, 2020

What is the standard treatment for congestive heart failure?

Early recognition and prevention therapies, combined with lifestyle modification, are essential in the treatment of heart failure. Therapy with angiotensin-converting enzyme inhibitors, β-blockers, and diuretics is now standard.

Can you reverse congestive heart failure?

It is possible to reverse congestive heart failure. Once the condition of your heart is assessed, the physician will take further steps to treat your congestive heart failure and start appropriate treatment.

What is the main cause of congestive heart failure?

The most common cause of congestive heart failure is coronary artery disease. Risk factors for coronary artery disease include: high levels of cholesterol and/or triglyceride in the blood. high blood pressure.

Do you need to be hospitalized for congestive heart failure?

The symptoms don't usually fade away by themselves, and they can spiral out of control into what doctors call acute or decompensated heart failure. This usually requires hospitalization and often intensive care. Rapidly worsening heart failure can put a tremendous strain on the heart, lungs, kidneys, and other organs.Jun 1, 2008

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

How do they diagnose congestive heart failure?

Diagnostic tests for congestive heart failure may include:Resting or exercise electrocardiogram (also known as EKG, ECG, or stress test)Echocardiogram.Computed tomography (CT) scan.Magnetic resonance imaging (MRI) scan.Positron Emission Tomography (PET) scan.Biopsy or catheterization of the heart and arteries.

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 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.

How to treat heart failure?

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

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.

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.

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.

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 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 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 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).

What is arginine supplement?

L-arginine is a semi-essential amino acid that acts as a physiological precursor of nitric oxide. Nitric oxide, in turn, plays a crucial role in regulating blood circulation, dilates blood vessels, and helps prevent the formation of blood clots. The effect of supplementation with arginine has been studied extensively and it has been found useful in the prevention and treatment of cardiovascular disorders including mild and moderate heart failure.[47] Supplementation with l-arginine has been found to increase exercise tolerance and improve right ventricular ejection fraction in heart failure patients.[48-50] Improvement may be seen in as little as 7 days using dosages of 2 to 3 grams three times daily.

What is the best medicine for heart failure?

Hawthorn (Crataegus oxyacantha) is a powerful heart tonic widely used in Germany in the treatment of heart failure, either on its own or in addition to standard medical treatment. Hawthorn increases the strength of the heart’s contraction (inotropic effect similar to that exhibited by digoxin). It also increases blood flow in the heart, increases left ventricular ejection fraction and exercise tolerance, and relieves other symptoms of heart failure. The German Commission E has approved the use of hawthorn in stage II (NYHA classifi8cation) heart failure.

What is the best potassium level for heart failure?

As in the case of magnesium, potassium deficiency (hypokalemia) is widespread among heart failure patients and is further exacerbated if the patient is on loop diuretics (thiazides), digoxin and ACE inhibitors.[28] Scottish researchers have found that the optimum potassium level for heart failure patients is between 4.5 and 5.5 mmol/L (mEq/L). Levels lower than this increase the risk of ventricular arrhythmias and death. For those with low potassium levels, the researchers recommend supplementation with potassium and magnesium combined with aldosterone blockade to prevent increased potassium excretion.[33] Aldosterone blockade can be achieved through the use of ACE inhibitors, angiotensin II type 1 receptor blockers, or aldosterone receptor blockers (spironolactone and eplerenone). Excessive potassium excretion can also be prevented through the use of potassium-sparing diuretics such as triamterene (Dyrenium) and amiloride (Midamor).[34]

What is the importance of magnesium?

Magnesium is of key importance to human health. It participates in over 300 enzymatic reactions in the body. A deficiency has been linked to conditions such as irregular heartbeat, asthma, emphysema, cardiovascular disease, high blood pressure, mitral valve prolapse, stroke and heart attack, diabetes, fibromyalgia, glaucoma, migraine, kidney stones, osteoporosis, and probably many more. About 99% of the body's magnesium stores are found in the bones and tissues and heart tissue is particularly rich in this important mineral. Only 1% of the body's magnesium is actually present in the blood so a standard blood analysis is a very poor way of determining overall magnesium status.

What is carnitine used for?

There is evidence that l-carnitine itself reduces symptoms of chronic heart failure[19], but research into the benefits of carnitine supplementation has largely focused on propionyl-l-carnitine, a naturally occurring derivative of l-carnitine. Several clinical trials have concluded that treatment with orally administered propionyl-l-carnitine (3 x 500 mg/day) is effective in increasing exercise capacity and left ventricular ejection fraction in heart failure patients .[20-22] Not surprisingly, a combination of l-carnitine and ubiquinol has also been found effective in reducing breathlessness, fatigue and palpitations, and improving walking distance in heart failure patients.[23]

What is pycnogenol used for?

Of more immediate interest is a recent finding that pycnogenol, in combination with coenzyme Q10, materially improves the health of heart failure patients. An Italian clinical trial recently concluded that the combination of pycnogenol and coenzyme Q10 (50 mg/day Q10 and 15 mg/day pycnogenol) increased left ventricular ejection fraction and walking distance in a group of heart failure patients.[18]

What is the coenzyme Q10?

Coenzyme Q10 (ubiquinone, ubiquinol) is an essential component of the mitochondria, the energy-producing unit of every cell of our body. Heart failure is associated with a pronounced coenzyme Q10 deficiency, and low coenzyme Q10 levels are associated with increased mortality in heart failure patients.[4,5] There are several clinical trials which clearly show that supplementation with coenzyme Q10 (150 – 650 mg/day) markedly improves heart function in heart failure patients.[6-9] More recent research has shown that ubiquinol, the reduced form of coenzyme Q10 is even more effective in the treatment of heart failure.[10]

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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 acti…
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