Can heart failure be cured

summary

The old man is in poor health. The latest examination found that heart failure is relatively serious. The doctor suggested that further observation should be made to formulate an effective treatment plan. In order to avoid more serious illness, he should be hospitalized for treatment. Now let me talk about whether heart failure can be cured.

Can heart failure be cured

First, the initial treatment was oxygen inhalation via mask or nasal catheter; morphine, loop diuretics and cardiotonics were given intravenously. Make the patient take sitting or half lying position, legs droop, reduce venous reflux of lower limbs. If the patient's condition is still not relieved, vasoactive drugs such as positive inotropic drugs, vasodilators and vasoconstrictors should be selected according to the systolic blood pressure and pulmonary congestion. Hemodynamics should be monitored in patients with severe condition, continuous decrease of blood pressure or even cardiogenic shock, and various non drug treatment methods such as intra aortic balloon counterpulsation, mechanical ventilation support, blood purification, ventricular mechanical assist device and surgery should be used.

Second: the dynamic measurement of BNP / NT proBNP is helpful to guide the treatment of acute heart failure. If the level of BNP / NT proBNP is still high after treatment, it indicates that the prognosis is poor and the treatment should be strengthened; if the level of BNP / NT proBNP is decreased after treatment and the decrease is more than 30%, it indicates that the treatment is effective and the prognosis is good. Control and eliminate all kinds of inducements, timely correct basic cardiovascular disease.

Third, the treatment of chronic heart failure has changed from short-term hemodynamic / pharmacological measures such as diuresis, cardiotonic and vasodilation to long-term and restorative strategies mainly based on neuroendocrine inhibitors, with the aim of changing the biological nature of heart failure. To control the risk factors of hypertension and diabetes, antiplatelet drugs and statins were used for secondary prevention of coronary heart disease.

matters needing attention

For patients, as long as they can follow the doctor's instructions, heart failure is not a problem. Of course, in daily life, patients need to pay attention to it. It's better to give up smoking and drinking, not to eat spicy food. In daily life, they can do some exercise properly.