Treatments

Heart Failure Treatments

Medications

If you have been diagnosed with heart failure, medications may improve your heart function, making it stronger and smaller, while slowing the progression of heart disease. Medications used to treat heart failure include:

• Angiotensin converting enzyme (ACE) inhibitors: These medications open up your blood vessels to allow the heart to pump blood more effectively. They also block neurohormones that can damage the heart.
• Angiotensin receptor blockers (ARBs): Sometimes used as an alternative to, or in conjunction with, ACE inhibitors, these medications also open up blood vessels to allow the heart to pump blood.
• Beta blockers: As the name implies, these medications block the effect of neurohormones, which can damage the heart. They also slow the heart rate and lower blood pressure.
• Diuretics: Commonly known as "water pills, "these medications help rid the body of excess fluid and sodium that causes the body to retain fluid.
• Digoxin: This medication helps strengthen the force of your heart's contraction.
• Spironolactone/eplernone: This medication blocks aldosterone, a hormone produced by the body that can increase heart failure symptoms.

Be sure to always take your medication daily, just as prescribed by your healthcare provider. Use a chart or list to keep track of all medications and bring this list with you to all of your medical appointments. Do not skip doses or stop taking any medicine without first talking with your physician or nurse.

Additional treatment options for heart failure may include:

Dietary modifications

If you have been diagnosed with heart failure, reducing your salt (sodium) intake and restricting fluid can have a meaningful impact on your health. When your diet is high in salt, your body retains extra fluid, causing your heart to work harder, and raises your blood pressure. For heart failure patients, a low-salt diet (less than two grams of sodium a day) can relieve this added stress to the heart.

Fluid restriction

Your nurse, physician or dietitian may provide more detailed diet guidelines that include limiting your fluid intake. Certain foods count as fluids, including:

• Flavored gelatin
• Ice cream
• Yogurt
• Pudding
• Fruit juices

If you are asked to limit fluids, talk with your physician, nurse or dietitian about using small amounts of sugar-free candy or gum to help relieve symptoms of dry mouth.

Lifestyle changes

In addition to medications and dietary modifications, the following lifestyle changes can also help treat your heart failure symptoms:

• Weigh yourself every morning: Rapid weight gain is a heart failure warning sign.
• Exercise regularly: Talk with your physician about starting an exercise program or joining a formal cardiac rehabilitation program. After a hospital stay, slowly increase your activities each day.
• Manage obesity: If you are overweight, talk with your physician about a weight-loss program, including diet, exercise and counseling.
• Minimize or eliminate tobacco and alcohol: Stop smoking and drink alcohol sparingly, if at all.
• Stay current on vaccinations: Talk to your physician or nurse about influenza and pneumococcal vaccinations.