How to treat heart failure?

summary

Heart failure is a group of very common clinical cardiovascular syndrome, coronary heart disease caused by myocardial dysfunction, hypertension, arrhythmia, valve abnormalities, hyperthyroidism can cause heart failure. Patients with heart failure must give up smoking, limit salt, water and calorie intake with the help of doctor's consultation and education. Many clinical manifestations of heart failure come from the response of peripheral circulation and changes of muscle metabolism. Let's take a look at the following.

How to treat heart failure?

First, pay attention to improve lifestyle: Patients with heart failure must give up smoking, limit salt, water and calorie intake with the help of doctor's consultation and education. Many clinical manifestations of heart failure come from the response of peripheral circulation and changes of muscle metabolism. Patients undergoing rehabilitation exercise can make significant progress. Although there is no perfect data suggesting that rehabilitation exercise can prolong life span, it can significantly improve the quality of life.

Second: fully deal with hemodynamics: how to treat heart failure? A large number of data have shown that reducing afterload can redistribute ventricular stroke volume from mitral regurgitation to direct cardiac output, such as drug mitral valvuloplasty. Therefore, the purpose of treatment is to make the patient reach the minimum systolic pressure required for cerebral blood supply, activity and urination.

Third, pay attention to the recovery of adequate myocardial perfusion and adequate energy metabolism: there are many methods to identify the patients with hypoperfusion but still alive myocardium (such as resting redistribution thallium imaging, dobutamine stress ultrasound and positron emission imaging). The benefit of revascularization has been confirmed. It can improve ventricular function and long-term prognosis.

matters needing attention

Pay attention to neuroendocrine block: the main progress in the treatment of heart failure is to recognize various "compensatory" mechanisms of neuroendocrine block, especially renin-angiotensin system and sympathetic nervous system, and increase the long-term survival rate. In this regard, we have excellent drugs, including ACE inhibitors, angiotensin II receptor blockers, aldosterone antagonists and many other drugs β Blockers. When treating most patients, doctors can choose drugs according to the principle of price and convenience.