What are the medications used to treat heart failure? How to use heart failure relief?

Patients are advised to undergo a standardized ** under the guidance of a doctor. Medications** are the main way to control disease progression and delay myocardial remodeling. **Commonly used medications for heart failure include: diuretics, receptor blockers.

Angiotensin-converting enzyme inhibitors (ACE inhibitors), angiotensin receptor blockers (ARBs), angiotensin receptor neprilysin inhibitors (ARNIs), and other drugs. [1]

1.Diuretics: Diuretics eliminate water and sodium retention.

It can effectively alleviate dyspnea and edema in patients with heart failure, and improve exercise tolerance. Appropriate use of diuretics is the key and foundation for the success of HF medications.

ACE inhibitors reduce chronic heart failure.

Hospitalisation risk and mortality, improvement in symptoms and exercise capacity, regardless of mild, moderate, or severe heart failure, coronary artery disease.

can benefit from ACE inhibitors, although it is important to note that there are fatal adverse effects on ACE inhibitors (severe angioedema.

of patients or pregnant women are contraindicated for use.

It is suitable for patients with chronic heart failure who cannot tolerate ACE inhibitors, and long-term use can improve hemodynamics, reduce the mortality rate of heart failure and rehospitalization for heart failure, and contraindications are the same as AECI except for neuroedema.

For symptomatic patients with chronic heart failure with NYHA class II and III, ARNI is recommended to replace ACE ARB with ARNI if ACE ARB can be tolerated to further reduce the morbidity and mortality of heart failure.

risk. 5.Receptor blockers:

Unless contraindicated or intolerant of receptor blockers, receptor blockers should be used in patients with relatively stable chronic heart failure. Receptor blockers may improve symptoms and quality of life in people with heart failure, and reduce the risk of death, hospitalization, and sudden death.

The system can automatically locate to help you find the heart failure center closest to you and improve the efficiency of the heart.

People who don't know about heart failure are mostly a little afraid when they hear this word for the first time, and feel that once heart failure appears, their lives are about to come to an end. This view is somewhat one-sided, heart failure is not incurable, it depends on the actual situation of the patient. The common drug diuretic of chronic heart failure can reduce the volume load, reduce the blood volume of the finger beam, and reduce the load of the heart, so as to improve chronic heart failure.

In addition, there are nitrates that can dilate blood vessels, such as isosorbide dinitrate, isosorbide mononitrate, etc. The above are all Western medicines, and you can also take Chinese patent medicine Qili Qiangxin Capsule, which has significant effects in cardiotonics, diuresis, and vasodilation, which can improve cardiac contraction and eliminate various symptoms of chronic heart failure. If it is a heart failure patient in the middle and late stages of slag, it can also be combined with the "Golden Triangle" drug for the treatment of heart failure, which can strengthen the heart and reduce the number of hospitalizations

First, diuretics, such as the loop diuretic furosemide, thiazide diuretics, hydrochlorothiazide, potassium-sparing diuretics, triamterene, spironolactone, these drugs mainly reduce the heart's preload through diuresis.

Second, RASS inhibitors, including ACE inhibitors, such as benazepril, enalapril, ramipril macro liquid, ARB such as irbesartan, valsartan, aldosterone receptor antagonists, such as spironolactone, these drugs are mainly by inhibiting the renin-angiotensin aldosterone system, improving myocardial remodeling, which is helpful for long-term prognosis.

Third, receptor antagonists, such as metoprolol and bisoprolol, are drugs that reduce myocardial oxygen consumption by lowering the ventricular rate.

Heart failure drugs**: cardiac diuretic vasodilator.

1.Cardiac inotropes (inotropes).

1) digitalis drugs, such as digoxin, cedilan, piloside K, etc., (2) non-digitalis drugs, such as dopamine, etc.

2.Diuresis. 1) Potassium excretion diuretics such as furosemide, hydrochlorothiazide, etc.

2) Potassium-sparing diuretics such as spironolactone, triamterene, etc.

3.Vasodilator.

1) Nitrate preparations, such as nitroglycerin, etc.

2) Angiotensin-converting enzyme inhibitors (ACE inhibitors) such as captopril, benazepril, etc., (3) angiotensin receptor antagonists (ARBs) such as losartan, valsartan, etc., (4) A1 receptor antagonists such as meperidine, etc.

5) Preparations that directly relax vascular smooth muscle, such as hydrazine, etc.

Heart failure is also called congestive heart failure or cardiac insufficiency. However, because there are many causes, it is necessary to further clarify and treat the symptoms. Beijing Lianke Traditional Chinese Medicine Nephrology Hospital** is very effective, you can go for a check-up.

Heart failure refers to a group of clinical syndromes in which the ventricular filling or ejection capacity is impaired due to structural or functional abnormalities of the heart, which is mainly manifested by symptoms and signs such as dyspnea, fatigue, and edema of both lower extremities. Heart failure is the terminal stage of the development of various heart diseases and is very harmful to the body. According to the latest data released by the American Heart Federation (AHA), the prevalence of heart failure is expected to increase further in 2030.

As a widespread means, drugs are of great significance in heart failure. Drugs for chronic heart failure** have changed from the initial cardiac tonic, diuretic, vasodilator, etc. to improve short-term hemodynamics, to [regulate] [good] regulation of the neuroendocrine system, so as to delay ventricular remodeling, improve quality of life, and reduce hospitalization and mortality rates.

Neuroendocrine modulators include angiotensin-converting enzyme inhibitors (ACE inhibitors), angiotensin receptor antagonists (ARBs), angiotensin receptor neprilysin inhibitors (ARNIs), receptor blockers, and aldosterone receptor antagonists. In addition to neuroendocrine modulatory drugs, ** drugs for heart failure include diuretics, cardiotonics [specific chemical names are not recommended] [OK. ] and so on, which can be applied on a case-by-case basis.

At present, there has been a great development of heart failure drugs, and the guidelines have also recommended heart failure drugs accordingly. Medications** can also improve the prognosis of heart failure in addition to symptom control, and should be used according to the doctor's guidance to maximize the benefits for patients with heart failure.

If the edema can disappear quickly after **, it means that the response to the drug is good. Diuretics can be changed to oral medications; If the heart rate is not too fast, you don't need to be beta lock, if the heart rate is fast and the effect is still poor, you can add it, but pay attention to the dose, this medicine must be used in the case of good heart function, if I don't let you use it when you are discharged from the hospital, you don't need it. If the adjustment is appropriate and the condition is stable, of course, you can move appropriately and you can be discharged from the hospital.

Chief Physician of the Department of Cardiovascular Medicine-Chief Physician of the First Affiliated Hospital of Zhengzhou University.

To put it simply, heart failure is a serious end-stage of various heart diseases, which seriously endangers the patient's health and may even be life-threatening. Heart failure has also been a source of concern, and its heart failure is dominated by drugs.

There are several drugs commonly used for heart failure: Diuretics: can effectively relieve dyspnea and edema in patients with psychological failure, improve cardiac function and exercise tolerance; Angiotensin-converting enzyme inhibitors (ACE inhibitors):

These drugs are neuroendocrine inhibitors that can improve left ventricular function, increase left ventricular ejection fraction, relieve symptoms and improve exercise tolerance; Receptor blockers: long-term use can improve cardiac function, increase the ejection fraction of the left ventricle, improve the shape of the ventricle, delay or reverse myocardial remodeling; Aldosterone receptor antagonists: it has the effect of preventing myocardial fibrosis and ventricular remodeling, antiarrhythmia, and diuresis; Angiotensin receptor antagonists (ARBs):

Similar to the effects of ACE inhibitors, an ARB may be added when clinical improvement is not satisfactory despite diuretics, ACE inhibitors, and receptor blockers**, and aldosterone receptor antagonists cannot be tolerated; Digitalis drugs: commonly used drugs such as digoxin, which can enhance myocardial contractility and improve blood circulation; Ivabradine: can slow heart rate and reduce the risk of hospitalization and death; Traditional Chinese Medicine**:

The choice should be based on the actual situation of the development of the syndrome.

At present, the domestic treatment of heart failure is also in line with international standards, and new drugs have an indelible effect on heart failure. Angiotensin receptor neprilysin inhibitor (ARNI) came into being as a new drug for psychological failure.

In 2017, the American College of Cardiology (ACC), the American Heart Association (AHA), and the American Heart Failure Society (HFSA) released updated guidelines for the management of heart failure, including a new** and a new drug, ARNI, for patients with heart failure with reduced stage C ejection fraction (HFref). For patients with chronic HFref, RAS inhibitors (ACE inhibitors [I,A], ARB [I,A], ARNI [I,B-R]) in combination with evidence-based receptor blockers and aldosterone receptor antagonists** are recommended to reduce morbidity and mortality. ARNIs are used instead of ACE inhibitors or ARBs in symptomatic HFREFs who are able to tolerate ACE inhibitors or ARBs to further reduce morbidity and mortality, but ARNIs should not be used concomitantly with ACE inhibitors, nor should ARNIs be used in patients with a history of angioedema.

We have long heard of the dangers of heart failure, and people at high risk of heart failure need to be vigilant against the occurrence of heart failure at all times! If you find symptoms such as chest tightness, shortness of breath, edema, fatigue, etc., you should go to the hospital for treatment in time.

Heart failure is the severe and terminal stage of various heart diseases. It is a complex group of clinical syndromes in which ventricular filling or ejection capacity is impaired due to any structural or functional abnormality of the heart. There are many causes of heart failure.

At present, coronary heart disease is the first leading cause of heart failure in China, followed by hypertension. Primary disease is the best way to prevent and prevent heart failure. The European guidelines for heart failure state that the following measures can be taken to prevent and delay the occurrence of heart failure and prolong the life of patients:

Recommended**High blood pressure; Statins are recommended for people with coronary heart disease or at high risk of coronary heart disease; ACE inhibitors are recommended for asymptomatic patients with left ventricular dysfunction; Receptor blockers are recommended for asymptomatic patients with a history of myocardial infarction and left ventricular dysfunction. Lifelong medications to improve prognosis are recommended for patients with symptomatic heart failure with reduced ejection fraction (HFfREv)**, and RAS inhibitors (ACE inhibitors [I,A], ARB [I,A], ARNI [I,B-R]) in combination with evidence-based receptor blockers and aldosterone receptor antagonists; In patients with heart failure with symptoms and signs of congestion, diuretics are recommended to improve symptoms and exercise tolerance. The specific ** plan should be personalized according to the patient's personal situation.

The final battleground of heart disease, almost all heart diseases can cause heart failure.

There are several ways to classify heart failure:

1.Left heart failure, right heart failure, total heart failure.

2. Chronic, acute.

3. Systolic insufficiency, diastolic insufficiency.

A common symptom of heart failure is a symptom of insufficient cardiac output; Fatigue, tiredness, dizziness, palpitations.

Symptoms of left-sided heart failure: mainly pulmonary congestion, manifested by exertional dyspnea. What does that mean?

To put it simply, chest tightness and shortness of breath after activity, unable to lie flat at night, sometimes need a higher pillow to be comfortable; Sometimes paroxysmal chest tightness or dyspnea at night, and even the need to sit up to relieve it; If you need to sit upright, accompanied by a whistle-like sound (medically called wheezing), it is called cardiogenic asthma. Some people present with coughing as soon as they lie down, as well as coughing up blood, bloody sputum, and white or pink frothy sputum, which is also an early manifestation of left-sided heart failure. The latter is generally seen in acute left-sided heart failure.

Right heart failure (systemic congestion): Gastrointestinal symptoms are common: abdominal distention, loss of appetite, nausea and vomiting, and dyspnea. It also often presents with edema of both lower limbs, liver pain and even jaundice, and chest and ascites can be present, (sometimes examination is required to detect).

Total heart failure: Appeal two additions.

The disease was not immediately apparent.

The **drug, it should be said that as long as it is symptomatic differentiation**, it will be good little by little, and you can't expect it to be fast**, usually mainly rely on persistence and maintenance, nutrition, proper exercise, combination of work and rest, and lasting confidence.

Heart failure is the main clinical manifestation of various cardiovascular diseases to the terminal stage, any cardiovascular disease can form heart failure when it is severe, and the prognosis is relatively poor.

If you're in a situation like this, go to the hospital and don't take medicine blindly.