How to treat heart failure? Etiology treatment is key

Heart failure normally refers to heart failure, which can be chronic or acute. Patients will experience symptoms such as fatigue, dizziness, palpitations, and easy fatigue. To treat heart failure, it is necessary to eliminate the cause in time, use medication, get more rest, and increase the heart's blood output.

1. Etiological treatment and elimination of predisposing factors , such as controlling hypertension, using medication, interventional or surgical treatment to improve myocardial ischemia in coronary heart disease, and surgical treatment of valvular heart disease. Actively control the infection. For atrial fibrillation with a very fast ventricular rate, if cardioversion cannot be performed in time, the ventricular rate should be controlled as soon as possible.

2. Reduce the workload on the heart

(1) Rest, control physical activity, and avoid mental stimulation

(2) Control sodium intake. Heart failure patients have increased blood volume and sodium and water retention in the body. Therefore, reducing sodium intake can help alleviate symptoms such as edema. However, it should be noted that when using strong sodium-excreting diuretics, overly strict salt restriction can lead to hyponatremia.

(3) The use of diuretics. Diuretics are the most commonly used drugs in the treatment of heart failure. They are very effective in relieving congestion symptoms and reducing edema by excreting sodium and water. Commonly used diuretics include potassium excretion drugs: diuretics, furosemide, potassium sparing drugs: spironolactone, triamterene, aminolone

(4) The use of vasodilators. Vasodilators reduce the front and back loads of the heart by dilating the capacitance vessels and peripheral resistance vessels, reducing myocardial oxygen consumption and improving cardiac function. Commonly used vasodilators include venous venodilators, such as nitroglycerin and isosorbide dinitrate. b Arteriolar dilators, such as pyrimethamine, urapidil, diazepam, etc.

3. Increase cardiac output

(1) Digitalis drugs such as digoxin, scutellaria baicalensis, and scutellaria baicalensis

(2) Non-digitalis positive inotropic drugs include adrenal receptor stimulants such as dopamine and dobutamine, and phosphodiesterase inhibitors such as amrinone and mirinone.

4. Anti-renin-angiotensin system related drugs

(1) ACE inhibitors

(2) Anti-aldosterone preparations such as spironolactone.

5. The use of beta-receptor blockers such as carvedilol, metoprolol, etc.

These are just the most basic things. It is recommended that you follow your doctor's advice when taking medicine, and don't do it on your own.