What are the treatments for heart failure

The treatment of heart failure is very important for all patients, because only by paying attention to scientific treatment can the harm be reduced. Common treatment drugs include cardiotonic drugs, digoxin and vasodilators. When using any drug, you should consult a professional doctor.

1. Cardiotonic drugs:

Digoxin: It is a medium-acting digitalis preparation used in the treatment of heart failure. Suitable for patients with chronic heart failure with poor systolic function. Especially those with atrial fibrillation and rapid ventricular rate. Take orally 0.125 mg each time (0.25 mg per tablet), 1 to 2 times a day. It is contraindicated for patients with bradycardia, II or III degree atrioventricular block, sick sinus syndrome, carotid sinus syndrome, preexcitation syndrome, hypertrophic obstructive cardiomyopathy, hypokalemia, and hypomagnesemia.

2. Digoxin: It is a fast-acting digitalis preparation used in the treatment of heart failure.

Suitable for patients with acute left heart failure, pulmonary edema or acute exacerbation of chronic heart failure. Add 0.2-0.4 mg (0.4 mg per vial) to 20 ml of 25% glucose injection and slowly push intravenously. It takes effect in 5 to 10 minutes and reaches its peak in 2 hours. This drug is generally not suitable for acute pulmonary edema caused by mitral stenosis, except for atrial fibrillation with rapid ventricular rate, so as to avoid aggravating pulmonary congestion due to increased right ventricular output.

3. Vasodilators:

Nitroglycerin: It is suitable for patients with acute left heart failure in the treatment of heart failure. Dissolve sublingually, 1 tablet (0.5 mg) each time or spray 0.4 mg into the mouth with nitroglycerin spray. The medication can be repeated every 10 minutes for a maximum of 3 times.

4. Sodium nitroprusside: It is particularly suitable for patients with acute left heart failure accompanied by severe hypertension, severe mitral valve and (or) aortic valve insufficiency, and acute deterioration of chronic heart failure. Usage: The initial dose is 10 micrograms/minute, which is increased by 5 to 10 micrograms/minute every 5 minutes until therapeutic effects or side effects such as hypotension are achieved. The maximum dose is 300 micrograms/minute, which can cause hypotension, which can be recovered within 10 minutes after stopping the drug. If used continuously for more than 1 week, attention should be paid to thiocyanate poisoning, denatured hemoglobinemia, vitamin B12 deficiency, etc.

5. Isosorbide dinitrate (Isosorbide dinitrate, Isodeoxycholate): It is a balanced vasodilator used in the treatment of heart failure. For patients with acute left heart failure, add 1 to 3 vials (10 mg each) to 250 ml of 5% glucose injection and drip intravenously at 20 drops/min. For patients with chronic heart failure, 3 vials can be added to 500 ml of 5% glucose injection and dripped intravenously at a rate of 10 drops/minute, or 10 mg of the tablets can be taken orally, 3 times a day. In addition, patients with chronic heart failure can also choose isosorbide mononitrate (Isoprolol, Syndiotide).