What is the golden triangle of heart failure treatment?

Apr 24, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Medications for heart failure may include beta-blockers, angiotensin-converting enzyme (ACE) inhibitors, and aldosterone antagonists. Specific drugs include metoprolol tartrate tablets, metoprolol succinate tablets, enalapril tablets, captopril tablets, spironolactone tablets, and eplerenone tablets. These medications must be taken according to medical instructions; self-medication is not allowed.

The three cornerstone medications in the treatment of heart failure—often referred to as the "golden triangle"—are beta-blockers, angiotensin-converting enzyme (ACE) inhibitors, and aldosterone antagonists. Detailed information is as follows:

1. Beta-blockers

Commonly used drugs include metoprolol tartrate tablets, metoprolol succinate tablets, and atenolol tablets. These are effective in treating various conditions such as hypertension, angina pectoris, and arrhythmias, and can also be used for clinically stable chronic heart failure.

2. Angiotensin-Converting Enzyme (ACE) Inhibitors

Common examples include captopril tablets and enalapril tablets. These medications promote vasodilation, increase total vascular capacity, and reduce vascular pressure, thereby improving cardiac symptoms and decreasing urinary protein levels.

3. Aldosterone Antagonists

Frequently used drugs include spironolactone tablets and eplerenone tablets. These agents effectively control hypertension and help reduce cardiovascular and cerebrovascular damage caused by high blood pressure.

Once heart failure is diagnosed, patients should not self-medicate. Instead, they should seek professional medical treatment at a local hospital.