How is acute heart failure treated? How is chronic heart failure treated?

Acute heart failure** includes the following:

First, oxygen should be given immediately. High-flow oxygen is more effective, and a mask can be worn to inhale oxygen.

Second, the head of the bed should be shaken high, and the lower limbs should be placed on the lower edge of the bed edge, which can help reduce the amount of blood returning to the heart and reduce the load on the heart.

Third, drugs such as morphine can be given to improve the patient's asthma symptoms, and can reduce the amount of blood returning to the heart, and can improve the patient's sympathetic nervous excitability.

Fourth, certain diuretics, such as furosemide or torsemide, can be given to rapidly diuretic, reduce blood volume, and improve the patient's symptoms. Other drugs may be nitrates.

My dad will feel dyspnea after every exercise, and there will be dyspnea when he sleeps at night, go to the hospital for examination, the doctor diagnosed acute heart failure, and prescribed Qili Qiangxin Capsule to my father, saying that this medicine is a Chinese patent medicine, which is used for mild and moderate congestive heart failure caused by coronary heart disease and hypertension, which is a deficiency of yang qi, which can effectively relieve the symptoms of dyspnea, edema of the lower limbs, and inability to lie flat at night caused by acute heart failure. My dad has been taking it for almost two months, and now his heart health is relatively stable, and he can occasionally do some gentle exercises, such as walking, tai chi, etc.

The treatment of chronic heart failure (CHF) has shifted from short-term hemodynamic pharmacological measures such as diuresis, cardiotonic strength, and vasodilation to long-term, restorative strategies based on neuroendocrine inhibitors, with the aim of altering the biology of the failing heart.

1.****。

control of risk factors such as hypertension and diabetes, and use antiplatelet drugs and statin lipid-regulating drugs for secondary prevention of coronary heart disease;

2.Improves symptoms.

Adjust the dosage of diuretics, nitrates, and inotropes according to the condition;

3.Proper use of neuroendocrine inhibitors.

Increase the dose from a small dose to the target dose or the maximum dose that the patient can tolerate.

4.Monitoring drug reactions:

1) For patients with reduced water and sodium retention, the dose of diuretics can be gradually reduced or maintained in small doses**, and it is difficult to completely stop the drug in the early stage. Daily weight change is a reliable indicator of diuretic effect and dose adjustment, allowing early detection of fluid retention. In diuretics**, sodium intake should be restricted (<3 g days).

2) Patients using inotropes can be changed to digoxin after discharge, and those with recurrent symptoms of heart failure can stop digoxin, which is easy to lead to aggravation of heart failure. If anorexia, nausea, or vomiting occur, digoxin concentration should be measured or the drug should be tentatively discontinued.

3) ACE inhibitors (or ARBs) should be dosed incrementally every 1 to 2 weeks while monitoring blood pressure, serum creatinine, and serum potassium levels, and ACE inhibitors (or ARBs) should be discontinued if serum creatinine is significantly elevated [> hyperkalemia (> or symptomatic hypotension (systolic blood pressure < 90 mmHg).

4) Patients who are stable, have no fluid retention and have a heart rate of 60 minutes, the dose of receptor blockers can be gradually increased, and the dose should be reduced if the heart rate < 55 minutes or accompanied by symptoms such as dizziness.

5.Frequency of monitoring.

Patients should self-measure their weight, blood pressure, and heart rate daily and register. After discharge, follow-up visits should be made every two weeks to observe symptoms and signs, and blood biochemistry should be rechecked, and the type and dose of drugs should be adjusted. After the condition has been stable for 3 months and the optimal dose of the drug has been reached, follow-up visits are made monthly.

Heart failure** includes the prevention and control of underlying heart disease** and its precipitating factors. The symptoms of heart failure itself are generally considered from the aspects of reducing the load on the heart, increasing the cardiac output, and controlling the sodium and water in the body.

1 Management of acute left heart failure.

1) Sit with your legs down.

2) Oxygen inhalation. 3) Morphine or meperidine.

4) Heart tonics.

5) Rapid diuretic.

6) Vasodilators.

7) Aminophylline.

8) Dexamethasone intravenous injection.

9) Patients with severe cyanosis of pulmonary edema, or obvious microcirculation disorders, can choose atropine, scopolamine, hyoscyamine (654-2) and other intravenous slow injection as appropriate to improve microcirculatory perfusion.

10) ****, remove the inducement, just in case**.

2 Management of congestive heart failure.

1) Follow the cardiac care routine. Low-salt, easy-to-digest, high-vitamin diet, rest, oxygen, avoid emotional agitation, and keep stools smooth.

2) ****, remove the triggers.

3) Digitalis preparation: The administration method is generally divided into two stages, that is, the loading dose is taken in a short period of time, and then the maintenance dose is given to maintain the efficacy. Depending on the condition and the accumulation of digitalis in the body, there are two ways to administer the load. Quick Method. Deferred Method.

4) Diuretics.

5) Vasodilators.

6) Convertase inhibitors: captopril or elepril are commonly used.

7) For patients with heart failure with increased heart rate or tachyarrhythmia, the choice of atenolol (aminopropol) can reduce the heart rate and help improve cardiac function.

3 Refractory heart failure**.

1) Further careful observation and examination, looking for various factors that affect the efficacy, and giving correct treatment.

2) Adrenocorticotropic hormones**.

3) Short-term intravenous infusion of adrenergic inotropes can help control heart failure symptoms.

4) Vasodilators and conversion enzyme inhibitors can also be used.

Chronic heart failure is one of the heart diseases, in recent years, the incidence of this disease in our country has gradually increased, we must pay attention to this disease, how to do chronic heart failure? I think there must be many people who are very concerned about this problem, and the following has introduced several ** chronic heart failure methods for us in detail, if you want to know, take a look with me.

If it is caused by chronic valvular heart disease and congenital heart disease, we need to seize the opportunity to perform surgery or intervention, if it is caused by coronary heart disease myocardial ischemia, we need to prevent further damage to the myocardium.

If we want to ** chronic heart failure, the first thing we have to do is to reduce the load on the heart, diuretics have the effect of improving heart function and exercise tolerance in people with heart failure, and patients with heart failure who are fluid retention can use diuretics to alleviate the condition.

Thiazide drugs are also very effective, dihydrogramurinary, chlorthalidone these oral drugs can quickly see the efficacy, you can take the drug according to the actual situation of your body, under the guidance of a doctor.

If you suffer from chronic heart failure, you must pay attention to the need to rest sufficiently, maintain a good mood at ordinary times, and exercise regularly, peace of mind, and the enhancement of immunity, which is very important for the health of the human body, and only in this way can it be conducive to the recovery of the body.

The above has answered the question of how to do chronic heart failure, presumably everyone should also understand the best method of this disease, the health problems of the body can not be ignored, I hope everyone can pay attention to it, if you have a disease, you must do it as soon as possible.

Chronic heart failure refers to the patient's heart failure that has reached a long-term state, which can be stable or reversed. Heart failure is a more serious heart disease, and it is a clinical syndrome in which a variety of heart diseases progress to a severe stage. Heart failure is followed by dyspnea, fatigue, and edema.

Therefore, there are two main purposes for heart failure, which are as follows:

1. To alleviate symptoms, diuretics, vasodilators, such as nitrate drugs, for patients with heart failure with weakened cardiac contractility, cardiac drugs can be used to improve the symptoms of heart failure, which can improve the symptoms of heart failure, but can not improve the long-term prognosis of patients, that is, can not reduce the mortality rate of heart failure patients;

2. In recent years, it has been found that the use of neuroendocrine inhibitors, such as receptor blockers, pulip drugs, and sartan drugs, can significantly improve the long-term prognosis of patients with heart failure and reduce the risk of death.

Can heart failure be curedSometimes heart failure, some people will think that it can't be cured, at most it can be relieved with drugs, and it can't be cured well, but some people don't believe it, how can it be cured? Everything is possible, how do you know if you can be cured without trying? Generally, people like He will always believe that it can be cured, but some people are not very sure, but they will try it, and they are more worried that it will not be cured, so can heart failure be cured?

Can heart failure be cured1.Generally, heart failure will be a chronic disease, if you have heart failure disease, it is impossible at this time, that is, it cannot help you return to a healthy state. Because heart failure occurs at the time of attack, it will cause a part of the body to lose its function, and it will also cause the heart to become insufficiency.

2.However, although heart failure cannot be cured, it can be controlled by drugs and other means, and it is also necessary to pay attention to diet and life to cooperate with the best control. Usually eat less salt in your diet, and also quit smoking and drinking.

And don't be too tired in life, and the general entertainment activities should be controlled within the scope of your physical condition. At the same time, it is also necessary to insist on going to the hospital regularly for check-ups and insisting on medication. Can help control the condition.

Usually you have to pay attention to Yu Wan.

1. First of all, let the patient keep quiet, dilate the peripheral blood vessels, reduce the amount of blood returning to the heart, and reduce the symptoms of dyspnea, you can take intramuscular or subcutaneous injection of morphine or demerol. However, this method is contraindicated in patients who are delirious, have shock, respiratory depression, and pulmonary infection, or are elderly.

2. It is best to have spare oxygen at home, 6-8 liters of oxygen are given with pressurized high flow, which can flow through 25%-70% alcohol and then inhale it with a nasal tube.

3. When the disease occurs, let the patient take the lying or sitting position, and the legs should hang down naturally, so as to reduce venous return.

4. Patients can take nitroglycerin or isosorbide dinitrate sublingually to reduce the venous pressure of the patient's pulmonary circulation.

5. Patients can be given intravenous diuretics to reduce blood volume and reduce the burden on the patient's heart. However, at the time of injection, it is necessary to prevent hypovolemia and hypokalemia.

6. If the patient is accompanied by bronchospasm, it can be diluted with aminophylline and glucose for intravenous injection. However, caution should be exercised in patients with ventricular tachycardia and premature ventricular contractions.

7. For patients who have not used drugs such as digitalis recently, digitalis preparations can be injected with digitalis, but for patients with atrial fibrillation with fast ventricular rate, it should be used with caution.

8. Dexamethasone or hydrocortisone is added to glucose for intravenous infusion, which is helpful for the control of pulmonary edema.

9. The triggers should be effectively controlled, and if the patient has tachyarrhythmia, it should be quickly controlled. 、

In the event of sudden acute heart failure, it is necessary to help the patient stabilize his mood first, and it is best to prepare some first-aid medicines at home, such as nitroglycerin, isosorbide dinitrate, etc., in case of emergency.