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Forum Name: Heart Failure

Question: Latest treatment of congestive heart failure?


 media2mike - Fri Jan 31, 2003 11:44 am

Would anyone know the latest medication for the treatment of congestive heart failure besides diuretics to rid the body of excess water? Any information about this debilitating condition would be appreciated.
Thanks.
 Dr. Yasser Mokhtar - Thu Feb 06, 2003 12:43 am

User avatar Dear Guest,

Thank you very much for using our website.

Congestive heart failure has a bad prognosis if left untreated. WIth treatment, prognosis improves markedly.

The newest development that happened over the last 2-3 years is the addition of a beta-blocker type drug to the regimen of patients who have congestive heart failure as in the past years it was found in several clinical trials their beneficial effects on the quality of life as well as survival in patients with congestive heart failure.

The main stay of treatment in congestive heart failure is:
1. Diuretics: Fluid pills, lasix for example.
2. Vasodilators: Angiotensin converting enzyme inhibitors, lisinopril for example.
3. Beta blockers: toprol xl for example.
4. Medications that make the heart pump stronger: digoxin for example.
5. Adjuvant treatments:
a. Well organized exercise program.
b. Loss of weight if the patient is overweight (if possible).
c. Good and balanced diet with no added salt.
d. Oxygen if needed.
e. Pace maker if the patient has certain conduction defects.

Once more, thank you very much for using our website http://doctorslounge.com and i hope that this information helped.

Yasser Mokhtar, M.D.
 R. Zein, Pharm D - Wed Jul 27, 2005 11:31 am

User avatar The main goal of treatment of congestive heart failure is
1) maintainance of fluid balance: and this is implemented by using diuretics: lasix, hydrochlorothiazides, and spironolactone . these help promote water and sodium excretion.

2)maintaining a theraputic blood pressure, this is accomplished via the use of antihypertensives and/or vasodilaters: like ace inhibitors: lisinopril, or beta blockers: atenolol, metoprolol., or angiotensin receptor blockers: diovan, calcium channel blockers: ditiazem verapamil.

3)Drugs which can improve the contractility of the heart: digoxin

4)diet: maintaining a sodium balanced diet; sodium restriction, because sodium overload promotes water retention.

5)excercise

6) patients with congestive heart failures should get used to obtain their weight daily. this practice is very important, as it tells health care professionals or the patient's doctor how well your body is responding t duiretics, therefore, how your fluid status is.
overall, depending on the stage of congestive heart failure (class i being the mildest, and IV being the worst), patients might be in monotherapy( one drug), or combination to reach optimal treatment.

if all medical treatments fail, patient with severe congestive heart failure, might be a candidate for heart transplantation, depending on the criteria.

it is very advisable to check with your doctor on regular basis, and discuss any issues or concerns that you might have.
thank you, and hope that helped.

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