What is the best treatment method for patients with heart failure?

Nov 12, 2024 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
1. Lifestyle adjustments: Make dietary changes following the principles of low salt, low fat, high protein, and high fiber intake, control body weight, and avoid overeating. Quitting smoking and limiting alcohol consumption can help reduce the burden on the heart and improve the condition. Engaging in appropriate aerobic exercise according to physical condition, such as walking, jogging, and swimming, can help enhance cardiopulmonary function.

Generally, treatment options for patients with heart failure include lifestyle modifications, medication therapy, cardiac resynchronization therapy, implantable cardioverter-defibrillators, and heart transplantation. The specific details are as follows:

1. Lifestyle modifications: Dietary adjustments should follow the principles of low salt, low fat, high protein, and high fiber, while managing body weight and avoiding overeating. Smoking cessation and limiting alcohol consumption can help reduce the burden on the heart and improve the condition. Appropriate aerobic exercise, such as walking, jogging, or swimming, based on individual physical condition, can help improve cardiopulmonary function.

2. Medication therapy: Medication therapy serves as the foundation for treating heart failure, aiming to relieve symptoms, prevent disease progression, and improve quality of life. Patients may take medications such as furosemide tablets, benazepril hydrochloride tablets, and bisoprolol fumarate capsules under a doctor's guidance. These medications can help reduce fluid retention, lower blood pressure, and decrease heart rate.

3. Cardiac resynchronization therapy: Cardiac resynchronization therapy is a new treatment approach for patients with heart failure complicated by cardiac conduction block. By implanting a cardiac pacemaker, this therapy coordinates the contraction of the left and right ventricles, improving the heart's pumping efficiency and alleviating heart failure symptoms.

4. Implantable cardioverter-defibrillator: Implantable cardioverter-defibrillators are used for primary or secondary prevention of sudden cardiac death in patients with heart failure. These devices monitor heart rhythm and deliver electrical stimulation or defibrillation when necessary to correct abnormal rhythms and prevent sudden cardiac death.

5. Heart transplantation: For patients with end-stage heart failure unresponsive to medical therapy, heart transplantation becomes the final treatment option. Heart transplantation can completely resolve the problem of heart failure, but it involves high surgical risks, requires long-term use of immunosuppressive agents after surgery, and is limited by the availability of donor organs.

During treatment, patients should cooperate closely with their physicians, follow medical advice, take medications as prescribed, and modify their lifestyles to achieve optimal treatment outcomes. Additionally, patients should monitor changes in their condition, attend regular follow-up appointments, and adjust treatment plans as needed.

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