Can heart failure of grade 4 be recovered?

Stage 4 heart failure means that the heart function is very poor and the condition is quite serious. It is quite difficult to achieve complete recovery. However, patients should pay attention to targeted treatment, especially pay attention to health care in life, maintain adequate rest, maintain an optimistic and cheerful attitude, pay attention to improving lifestyle, take more care of family members, and should be hospitalized for treatment.

Can heart failure of grade 4 be recovered?

1. Pay attention to improving your lifestyle:

Heart failure patients must quit smoking, limit salt and water intake, and limit excessive calorie intake under the consultation, support, and education of a doctor. Many of the clinical manifestations of heart failure result from responses to changes in peripheral circulation and muscle metabolism. Patients who undergo rehabilitation exercises can make significant progress. Although there is no hard data to suggest that rehabilitation exercises prolong life, they can significantly improve quality of life.

2. Adequately address hemodynamics:

How to treat heart failure? There is a lot of information showing that reducing afterload can redistribute the ventricular stroke volume, changing mitral regurgitation into direct cardiac output, and its effect is like pharmacological mitral valvuloplasty. Therefore, the goal of treatment is to enable the patient to achieve the lowest systolic blood pressure required for cerebral blood supply, brain activity, and urination.

3. Pay attention to neuroendocrine blockade:

The major advance in the current treatment of heart failure is the recognition that blocking various neuroendocrine "compensatory" mechanisms, especially the renin-angiotensin system and the sympathetic nervous system, can increase long-term survival rates. We already have excellent drugs for this purpose, including ACE inhibitors, angiotensin II receptor blockers, aldosterone antagonists, and many types of beta blockers. When treating most patients, doctors can choose drugs based on price and simplicity.

4. Pay attention to maintaining electrical stability:

How to treat heart failure? There is sufficient clinical evidence to illustrate the importance of antiarrhythmics. Doctors must pay close attention to whether patients are at "high risk" for a major electrical event and intervene.

5. Pay attention to restoring adequate myocardial perfusion and energy metabolism:

There are many methods to identify patients with poorly perfused but still viable myocardium (such as resting redistribution thallium imaging, dobutamine stress ultrasound and positron emission tomography). The benefits of revascularization are well established, improving ventricular function and long-term prognosis.