How is chronic heart failure treated? Can heart failure be cured

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.

Western Medicine**.

1 Reduce the load on the heart.

Rest: The main way to reduce the load on the heart? In patients with mild heart failure, physical activity restriction is sufficient; Should patients with severe heart failure stay on bed rest? At the same time, we should pay attention to relieving the mental burden?

Salt restriction: is it one of the most appropriate ways to control chronic heart failure? What is the daily salt intake limit depending on the degree of heart failure?

Diuretic: dihydrogram urinary plug, 25 50 mg each time, 2 3 times a day? Furosemide 20 40 mg 1 2 times a day? Long-term use can cause hypokalemia, should potassium salt be supplemented in time? Dapsterene, 50 100 mg each time, 3 times a day?

Vasodilators: benzylamine zoline? Hydralazine? Nitroglycerin? Heartache, prazosin, etc.? Commonly used to relieve heartache, 10 20mg each time, 3 times a day? Prazosin, 2 10 mg each time, 3 times a day?

2 Enhance myocardial contractility: Mainly digitalis cardiac glycosides, including digoxin and cediran, can increase the contractility of the heart, control and improve the symptoms of heart failure? How to use digoxin, 1 time per day?

Chinese medicine**.

1 Qi and Yin deficiency: palpitations, shortness of breath, especially movement, dizziness and fatigue, night sweats and red cheeks, upset and insomnia, red tongue and less lichen, thin pulse or knotting?

Taking medications to invigorate qi and reduce yin?

2 Blood stasis and water resistance: dark red cheeks, purple lips, palpitations, shortness of breath when moving, edema of the lower limbs, dark tongue or purple spots, greasy pulse?

Taking medication for removing stasis and water?

3 Yang deficiency and flooding: palpitations, shortness of breath, chills, cold limbs, backache and weak legs, edema and little urine, dull complexion, pale tongue, thin pulse or knotting?

Taking medication for warming and water?

4 Yang qi prostration: palpitations, shortness of breath, irritability, sweating, cold limbs, edema and little urine, pale tongue, and weak pulse?

Taking medication related to rejuvenation, invigorating qi and solidifying?

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

Medications**] 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.Improve symptoms Adjust the dosage of diuretics, nitrates, and cardiotonics according to the condition; 3.

Proper use of neuroendocrine inhibitors is increased from a small dose to the target dose or the maximum dose that the patient can tolerate.

Prognosis] The prognosis of patients with chronic heart failure is relatively poor, with a mortality rate of up to 50% in four years, while patients with severe heart failure may have a mortality rate of 50% in one year.

Heart failure is the terminal stage of all types of heart disease, and its common symptoms include dyspnea, fatigue, and fluid retention (pulmonary congestion, peripheral edema). Moser et al. selected 9 items related to heart failure symptoms in the scale to study the symptom clusters of heart failure patients, including: edema, need to rest during the day, difficulty walking or climbing stairs, poor sleep, wheezing, fatigue, anxiety, cognitive impairment (inability to concentrate or poor memory), and depression, and believed that these 9 items could reflect the presence and severity of heart failure symptoms.

The New York College of Cardiology (NYHA) classifies cardiac function as grade I, which can be used as a reference for judging the severity of heart failure. Specifically, it is recommended to go to the hospital for examination, explain the severity of the condition and symptoms in detail, and have a specialist make a diagnosis.

Intervention prior to the development of left ventricular dysfunction or symptoms of heart failure can significantly reduce HF morbidity and mortality by 50% to 60% of high-risk populations]. Therefore, controlling various risk factors is an important strategy for preventing heart failure. Risk factors for heart failure include obesity, dyslipidemia, hypertension, abnormal blood glucose, coronary heart disease, etc.

Daily control of these risk factors can help prevent the occurrence of heart failure.

It is recommended to control blood pressure, blood lipids, blood sugar and other primary diseases** on a daily basis. At the same time, promoting a healthy lifestyle and controlling various underlying cardiovascular diseases, including subclinical types, can delay the occurrence and progression of cardiovascular disease events].

It is advisable to visit the hospital regularly for check-ups. Physical examination, electrocardiogram and other tests are done. Early examination and early ** can prevent or delay the occurrence of heart failure and prolong the life of patients with heart failure.

Heart failure is a clinical syndrome that occurs mainly because some diseases of the heart cause abnormalities in the structure and function of the heart. Nowadays, the pressure of life is increasing, overwork, and some bad living habits (smoking, drinking, etc.) also bring great harm to the cardiovascular system of young people, so some young people will also suffer from heart failure. Of course, if heart failure is detected at a very old age, it is also necessary to be vigilant whether it is caused by myocarditis or cardiomyopathy.

Heart failure is a progressive disease, and once it occurs, even if there is no new myocardial damage and no further changes in the disease are clinically indicated, the damage to heart function may still progress spontaneously, so it still needs to be carried out promptly**. Heart failure should be actively searched for and triggered, and carried out in a targeted manner. This requires the development of good lifestyle habits, and in combination with drugs such as diuretics, ACE inhibitors, receptor blockers, aldosterone receptor antagonists, ARBs, digitalis, ivabradine, etc., angiotensin receptors and neprilysin inhibitors (ARNIs) can be used as alternatives to ACE inhibitors or ARBs [3].

Heart failure is possible, and the current standardization of heart failure has achieved good results, especially some young heart failure patients, who should increase their confidence and strangle the disease in the cradle in time.

The symptoms of heart failure are mainly signs and symptoms of systemic and pulmonary congestion, mainly edema and wheezing. The symptoms and signs of heart failure can be improved after **, but they will be reversed, getting worse and worse, and long-term ** is needed to improve quality of life and prolong survival.