How to treat chronic heart failure with a single-chamber pacemaker
Disease description:
I had a single-chamber pacemaker implanted in the right ventricle 21 years ago, and subsequently replaced twice, each time with a single-chamber pacemaker. I am now experiencing diastolic heart failure, which has been progressively worsening. How should chronic heart failure caused by a single-chamber pacemaker be treated?
Doctor's answer (1)
Dr. Tian Hongbo
For chronic heart failure that occurs after implantation of a single-chamber pacemaker, treatment methods mainly include the following aspects:
1. Optimize medication therapy: including the use of ACE inhibitors or ARBs, beta-blockers, aldosterone antagonists, and salt restriction, to reduce cardiac load and improve myocardial function.
2. Adjustment of lifestyle: such as balanced diet, moderate exercise, smoking cessation, and alcohol limitation, all of which help reduce cardiac load and promote physical recovery.
3. Cardiac rehabilitation training and psychological support therapy: Cardiac rehabilitation training can improve cardiovascular health, while psychological support therapy helps patients develop a positive mindset and manage their condition more effectively.
4. Specialized treatments: consideration may also be given to cardiac resynchronization therapy or implantable cardioverter-defibrillators to further reduce the risk of arrhythmias and improve quality of life.
5. Psychological and social support: helps patients develop a positive attitude toward life and enhances their quality of life.
