Heart Failure Drug Therapy

Written by Zhang Yue Mei
Cardiology
Updated on September 17, 2024
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Due to some myocardial diseases that cause damage to the myocardium, or other reasons that increase the heart's load, heart failure may occur. Clinical treatment involves strengthening the heart and promoting diuresis, improving blood vessel function, increasing the heart’s contractility, reducing the heart’s resistance, and decreasing the volume of blood returning to the heart. Through these effective drug treatments, heart failure can be corrected. Patients with heart failure should avoid excessive fatigue and maintain a low-salt diet to prevent increasing the burden on the heart.

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Written by Zhang Yue Mei
Cardiology
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Can people with heart failure eat fish?

Patients with heart failure can eat fish, as fish contains a large amount of high-quality protein, vitamin B, trace elements, and minerals. Consuming fish can increase the high-quality protein the body needs, enhance the body's immunity and disease resistance. Especially for patients with heart failure, who suffer from chronic myocardial ischemia, need nutritional support. When preparing fish, it should not be made too salty, as patients with heart failure should follow a low-salt diet. If the fish is too salty, consuming it in excess could exacerbate heart failure. Preparing fish in a lighter way, such as making fish soup, can not only supplement the body's high-quality protein but also be easier to digest.

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Written by Wei Shi Liang
Intensive Care Unit
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Why does heart failure cause edema?

Edema caused by heart failure is mainly due to heart dysfunction, resulting in systemic circulation, venous congestion, and excessive fluid accumulation in the body's tissue spaces. The primary cause is right heart failure or total heart failure, and some special cases of pericarditis. The edema caused by this type of heart failure is often symmetrical, indenting, and sagging, and usually worsens with activity and lessens with rest. The common locations for fluid accumulation are in the sacral and perineal areas, while bedridden patients often show it in the ankle area. In severe cases, patients may experience generalized edema, and even develop ascites and pleural effusion. This condition is known as heart failure, and the type of edema it causes is called cardiogenic edema.

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Written by Xie Zhi Hong
Cardiology
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Can heart failure cause suffocation?

Heart failure is caused by various reasons leading to the heart's blood supply being relatively or absolutely insufficient, causing a series of pathological and physiological disorders in patients. Patients often manifest symptoms like difficulty breathing, tightness in breath, and even a feeling of suffocation. However, generally, the symptoms caused by heart failure are not these. This is because suffocation occurs due to airway narrowing or the narrow space around the patient, leading to insufficient oxygen intake, causing a series of syndromes. Therefore, although people with heart failure feel suffocated, they are not actually suffocating; it is just a manifestation of inadequate circulatory supply.

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Written by Zhang Yue Mei
Cardiology
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What is a good diet for heart failure?

Heart failure is one of the most common complications of various organic heart diseases. After the onset of heart failure, it is necessary to use effective medications to treat the primary disease causing the heart failure. At the same time, methods such as cardiotonics, diuretics, and vasodilators should be used to reduce the burden on the heart as much as possible and correct heart failure in a timely manner. Patients with heart failure should rest, keep calm, and avoid overexertion in daily life. Their diet should primarily consist of low-fat and low-salt foods, and they should abstain from smoking and drinking alcohol. They should avoid spicy foods, pickled foods, and overly salty foods. Eating overly salty foods can increase blood volume, increase the burden on the heart, and worsen heart failure. (The use of medications should be conducted under the guidance of a professional doctor.)

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Written by Wang Li Bing
Intensive Care Medicine Department
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What medicine is used for acute heart failure?

The most common clinical manifestation of acute heart failure is severe dyspnea, hypoxia, and even changes in consciousness, which are very common in clinical practice. For treatment, morphine can be administered intravenously or subcutaneously to reduce patient agitation and relieve myocardial oxygen consumption. Secondly, plastic can be used for rapid intravenous push. Thirdly, vasodilators can be used, such as glyceryl trinitrate and sodium nitroprusside intravenous infusion. Fourthly, positive inotropic drugs can be used, such as dopamine and dobutamine. Additionally, cardiac glycosides, such as digoxin, can be used.