Can acute heart failure be cured?

Written by Zhou Yan
Geriatrics
Updated on April 12, 2025
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Acute heart failure refers to the acute onset or exacerbation of a clinical syndrome of heart failure, manifested as either acute onset of new heart failure or acute worsening of chronic heart failure. The goal of treatment is to improve symptoms, stabilize hemodynamic status, protect vital organ functions, improve prognosis, and prevent recurrence. Because the ischemia and hypoxia during an acute heart failure episode, along with severe respiratory distress, are life-threatening, urgent intervention is required. However, whether it can be cured depends on the underlying disease. Since the underlying disease is already present, it cannot be completely cured, but clinical symptoms and prognosis can be improved.

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Written by Wang Li Bing
Intensive Care Medicine Department
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How is acute heart failure treated?

Acute heart failure presents with significant respiratory distress and symptoms of hypoxia. Immediate intervention is necessary to alleviate breathing difficulties. Clinically, the following measures are generally adopted: First, position the patient to sit up with legs dangling to decrease venous return to the heart. Second, administer high-flow oxygen through a nasal cannula, and if necessary, proceed with endotracheal intubation and ventilator support. Third, administer morphine subcutaneously or intravenously to reduce agitation and myocardial oxygen demand. Fourth, use rapid diuretics, such as furosemide. Fifth, utilize vasodilators such as nitroglycerin or nitroprusside. Sixth, use positive inotropic agents such as dopamine or dobutamine as appropriate. Seventh, employ digitalis drugs, but avoid use in acute myocardial infarction within the first 24 hours. Eighth, consider using an intra-aortic balloon pump or other cardiopulmonary support systems, etc., and after stabilization of acute heart failure, further treat the underlying cause, etc. (Use medications under the guidance of a doctor.)

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Written by Zhang Yue Mei
Cardiology
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Heart Failure Drug Therapy

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 Lu
Obstetrics
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Can childbirth lead to heart failure?

Childbirth refers to the delivery of a fetus through vaginal delivery or cesarean section, and it represents a significant strain on a woman’s heart. Regardless of the type of delivery, there is a possibility of leading to heart failure to some extent. Especially during the second stage of labor, pregnant women often exert greater effort, significantly increasing the load on the heart. If there is poor heart function or pre-existing cardiac disease, it could lead to heart failure. In some cases, if the heart disease is severe and cannot withstand delivery, a cesarean section must be chosen. However, cesarean delivery can also lead to heart failure, mainly due to a large amount of blood flowing back to the peripheral circulation from the uterus after the fetus is delivered, causing a significant increase in the preload on the heart and easily leading to the onset of heart failure.

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Written by Wang Li Bing
Intensive Care Medicine Department
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Common causes of heart failure

Heart failure is a syndrome that occurs when various structural or functional cardiac diseases impair ventricular filling or ejection function. Once heart failure occurs, medical treatment should be sought promptly. Common causes of heart failure mainly include the following points. The first category is primary myocardial damage, which mainly includes coronary heart disease, myocardial infarction, myocarditis, cardiomyopathy, and diabetic cardiomyopathy, among others. The second major category is cardiac load, such as excessive pressure load, commonly seen in hypertension, aortic valve stenosis, pulmonary hypertension, etc.; and excessive volume load, mainly found in cardiac valve insufficiency and congenital heart disease, among others.

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Written by Liu Ying
Cardiology
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Can heart failure be cured?

We say that some early-stage heart failure can be cured, such as peripartum cardiomyopathy and thyrotoxic cardiomyopathy. If discovered and treated early, there is hope for a cure. However, most heart failure cannot be cured. Although some psychological failures cannot be cured, if patients can receive early treatment and effective treatment, take their medication on time, and have regular check-ups as advised by their doctor, most heart failure can still be controlled or alleviated. However, if heart failure is detected and not actively treated, even mild heart failure may gradually worsen, or even become end-stage heart failure.