What is the treatment of heart failure?

The initial treatment of congestive heart failure is the "old three kinds", namely cardiotonic, diuretic and vasodilator.

In recent years, the treatment measures have become more and more perfect, from the "old three" to the "new seven" now, that is, cardiotonic, diuretic, vasodilator, β receptor blocker, angiotensin converting enzyme inhibitor, angiotensin ⅱ receptor antagonist and aldosterone antagonist. The principle of medication for heart failure is as follows.

(1) The combination of drugs with different mechanisms of action can improve the curative effect.

(2) Diuretics are the basic drugs for treating heart failure, which can be used by anyone with symptoms of heart failure, especially those with increased capacity load. Furosemide should be used in acute phase and thiazides should be used in remission phase.

(3) Regardless of symptoms, patients with heart failure and systolic dysfunction should use angiotensin converting enzyme inhibitors. Short-acting drugs such as captopril should be the first choice, and then long-acting drugs such as ramipril and lisinopril should be used after stability.

(4) If diuretics and angiotensin converting enzyme inhibitors are still ineffective, digitalis and nitrate preparations can be added. Digoxin is the first choice for the application of digitalis, initially 0.25mg, daily 1 time; After the symptoms were relieved, the maintenance dose was changed to 0. 125mg/day 1 time. Nitrate is a long-acting preparation such as pentaerythritol nitrate vinegar, which is not only used.