What Are the Treatments for Chronic Heart Failure?

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What are the treatments for chronic congestive heart failure?

2 Answers

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Heart failure is a chronic disease needing lifelong management. However, with treatment, signs and symptoms of heart failure can improve, and the heart sometimes becomes stronger. Treatment may help you live longer and reduce your chance of dying suddenly For most people, the treatment of heart failure involves a balance of the right medications and, in some cases, use of devices that help the heart beat and contract properly. Medications 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
  • Angiotensin II receptor blockers
  • Beta blockers
  • Diuretics
  • Aldosterone antagonists
  • Inotropes
  • Digoxin (Lanoxin).
Surgery and medical devices In some cases, doctors recommend surgery to treat the underlying problem that leds to heart failure. Some treatments being studied and used in certain people include:
  • Coronary bypass surgery
  • Heart valve repair or replacement
  • Implantable cardioverter-defibrillators (ICDs)
  • Cardiac resynchronization therapy (CRT), or biventricular pacing
  • Ventricular assist devices (VADs).Heart transplant.
Key word: chronic congestive heart failure treatment
I have 35% ejection rate. I’m 76 yrs old. What are my options? I’m allergic to IV Iodine.
How long since you have found out about EF in 35%? Do you have any symptoms? Any heart disease history? All kinds of heart diseases lead to heart failure eventually. In this stage, a few drugs could help. You should see a cardiologist and get proper treatment strategy. Iodine is not the prerequisite. You could take cardiac MRI.
Treatments depending on your overall health and how far your condition has progressed.
Congestive heart failure drugs
There are several medications that can be used to treat CHF, and u need speak with your doctor before taking any new medications.
ACE inhibitors
Vasodilators(ACE inhibitors shouldn’t be taken with the following medications without consulting with a doctor, because they may cause an adverse reaction:
Thiazide diuretics;Potassium-sparing diuretics;Nonsteroidal anti-inflammatory drugs (NSAIDs))Beta-Blockers
Beta-blockers can reduce blood pressure and slow a rapid heart rhythm.(Beta-blockers should be taken with caution with the following medications, as they may cause an adverse reaction:Antiarrhythmic medications,Antihypertensive medications, The effects of albuterol (AccuNeb) on bronchodilation may be cancelled out by beta-blockers. )
Diuretics
Diuretics reduce your body’s fluid content. Diuretics should be taken with caution with the following medications, as they may cause an adverse reaction:
ACE inhibitors, Tricyclics,Anxiolytics, Hypnotics, Beta-blockers, Calcium channel blockers, Nitrates, NSAIDS)
This is an abbreviated list with only the most common drug interactions. You should always talk to your doctor before taking any new medications.
Surgeries
If medications aren’t effective on their own, more invasive procedures may be required. Angioplasty, a procedure to open up blocked arteries, is one option. Your cardiologist may also consider heart valve repair surgery to help your valves open and close properly.
On a normal 6 month physical my internal medicine doctor found Tachycardia he sent me for an echocardiogram, stress test, EKG, did blood tests then sent me to a Cardiologist. He gave me water pills and another pill. I go back in 3 weeks for blood tests. Then in 3 months for another echocardiogram. My diagnosis is Acute Systolic heart failure with 35% ejection rate. So it’s been 1-week since I found out. I guess I’m wondering if this is going to take my life? Or if I can come out of this ok?
I’ve know 1- week. I break out in a hot sweat if I do anything around the house for moth than 10 minutes and pant because I can hardly breath I have to sit down in the middle of my chores I feel like I’m going to pass out. I have also had pain in my chest when very tired.
Like I said, all kinds of heart diseases lead to heart failure eventually. In your situation, you should find out the cause. If it's heart attack (since you have chest pain, it's possible), you should revascularize the blocked artery. Did your cardiologist suggest you do other tests? At this condition, you'd better go to the hospital and get intensive care.
30 years ago  my primary doctor stated that I had heart failure.  At that time my heart doctor  dismissed  the comment  and there was not treatment. Now at my age of 95 my heart doctor  is treating  with medication and physical occupational therapy. I. Feel better, no shortness of breath, no chest pain, no dizziness, my blood pressure is normal. And now, he wants me to stop driving, which I do not like.to stop doing it..

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You should listen to your doctor’s guidance. People with heart failure in a relatively old age need to give up some hobbies for a better treatment. My mother is about 82. She has had CHF for a extremely long time and she had 4 times bypass during these years. However, she keeps on moving even though she needs to stop sometimes. She told me that she could feel herself getting weaker, that she was an old lady and time was limited. She is not giving up, but she is trying to tell me to be realistic about the facts of life. She is so brave. Take care!
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