Aims of heart failure management

September 3, 2011 | By | Reply More

Aims of heart failure management

♦To achieve improvement in symptoms :

  • Diuretics
  • Digoxin
  • ACE inhibitors

♦To achieve improvement in survival:

  • ACE inhibitors
  • ß blockers (for example, carvedilol and bisoprolol)
  • Oral nitrates plus hydralazine

2.Diet:Patients admitted with heart failure or pulmonary edema should maintain a low-salt diet in order to minimize fluid overload. Monitor fluid balance closely.
3.Activity:Patients with decompensated heart failure should be placed on complete bed rest until their decompensation is resolved. This is necessary to maximally reduce myocardial oxygen demand and to avoid exacerbation of the abnormal hemodynamics and symptoms of heart failure.

  •  Ventricular assist devices:intractable cardiogenic shock after acute MI,and for patients who get worse while waiting for  tranplantation.
  •  Cardiac transplantation


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Category: Medical, Medicine, Pharmacology

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