Cardiac failure - Treatment & therapy

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Treatment & therapy of cardiac failure

The most important factor is the treatment of the underlying disease. Various medicines increase the blood pressure to the heart or reduce the oxygen demands of the muscle pump.  Blood-thinning medications support the pharmacological therapy, which consists of the following active substances:

  • Beta blockers
  • ACE inhibitors
  • Aldosterone antagonists
  • Angiotensin-II receptor antagonists
  • Nitrate (nitroglycerine)
  • Cardiac glycosides (Digitalis)
  • Diuretics

In the case of a severe heart weakness, various surgeries come into the question, e.g. the coronary angioplasty (PTCA, insertion of an artery stent) or a bypass surgery.  In case of malfunctions of the heart rate or heart arrhythmias, a pacemaker can be used.  Only in rare cases must doctors use an artificial heart or a heart transplant. 

Moreover, the risk factors must be minimized. Excess weight should be lost and the patient should adopt a diet which is low in fat and salt.  In this way, cholesterol and blood pressure can be reduced efficiently. The excessive consumption of alcohol and smoking should be avoided.