Recommendations for taking pills for heart failure

Heart failure is a disease that occurs due to malfunctioning of the heart muscle. This article will focus on the treatment of heart failure with pills. It should be taken into account that different types of insufficiency of the heart muscle are treated differently, and therefore they should be able to distinguish.

In the course of reading this article, the reader will get acquainted with the description of each type of heart muscle failure. We will also deal with the causes of the disease, the symptoms and what is the treatment with pills.

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A disease such as insufficiency of the heart muscle is caused by disturbances in the functioning of the heart muscle. In heart failure, the heart muscle stops pumping properly. This leads to stagnation of blood, to a lack of oxygen and nutrients in the body. This disease most often occurs in older people.

The causes of the onset of the disease are the basis of the transferred one of the following diseases:

  • heart disease;
  • ischemia;
  • hypertension;

Stages of development of heart failure:

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  • The acute form of heart failure does not develop in stages, but is an attack, during which all symptoms are simultaneously manifested in the most severe form.
  • The development of chronic heart failure occurs at different rates for everyone. The speed depends on the cause of the disease, on how much the work of the myocardium is disrupted.

The development of a chronic form of lack of heart muscle is divided into three stages.

At the initial stage of the development of the disease, the symptoms are mild. But already at this stage, a deterioration in the functioning of the myocardium is noticeable, during physical exertion the heartbeat becomes excessively frequent, and shortness of breath appears.

At the next stage of the development of the disease, the symptoms are more pronounced than at the previous stage. Disorders in the work of the heart muscle are already noticeable not only during physical activity, but also at rest. There is a sharp decline in performance.

At the final stage of the development of the disease, symptoms are constantly present. There are irreversible disturbances in the work of the whole organism. Noticeable depletion of the whole organism.

Disease classification

There are two classifications of such a disease as a lack of heart muscle.

Classification #1

This classification is based on the division of heart muscle deficiency into acute and chronic.

  • Acute form of cardiovascular insufficiency. This type of disease is an attack. At the time of the attack, all symptoms appear in the most severe form. It is worth noting that due to an attack of an acute form of heart failure, deaths often occur in the elderly.
  • Chronic form of heart failure. This type of disease develops over the years, over time, the symptoms become more severe.


Classification #2

This classification is based on the division of heart muscle deficiency into right ventricular and left ventricular.

  • Left ventricular failure of the heart muscle. This type of disease can occur in the forms of cardiac asthma and pulmonary edema.
  • Right ventricular failure of the heart muscle.

Based on this division of the disease into subspecies, the doctor can develop the correct treatment tactics. However, it is possible to determine what type of ailment belongs to after the diagnosis.

Medical treatment

It is worth paying attention to the fact that the drugs discussed below have a number of contraindications, and therefore it is necessary to consult a doctor before taking certain pills. Self-administration of medications can lead to detrimental consequences, because. the dose and course of the drug is calculated individually based on the diagnosis and the physiological characteristics of the body.

Medicines for heart failure are not universal.

When choosing tablets for the treatment of heart failure, the type of disease should be taken into account both in the elderly and in those of working age.

In the event of an attack of acute lack of heart muscle, including in the elderly, a tablet of nitroglycerin or nitrosorbitol should be taken only if the pressure is above 90 millimeters of mercury. Repeat taking the pill should be no more than 3 times. Time interval between taking pills: 7 minutes.

Preparations

Drugs for the treatment of the chronic form of the disease:

  1. Angiotensin converting enzyme inhibitors. Drugs that affect the functioning of the renin-angiotensin-aldosterone system. These include: captopril, quinapril, enalapril, lisinopril, ramipril, perindopril, fosinopril. Inhibitors of an enzyme called angiotensin converting slow down the progression of the disease.
  2. Blockers b - adrenergic receptors. These include: non-cardioselective carvediol, cardioselective bisoprolol, cardioselective metoprolol. Function: blockers b - adrenergic receptors reduce the risk of death from heart failure. Blockers of b-adrenergic receptors block the transmission of postganglionic-adrenergic impulses to the organs and tissues of the body.
  3. Diuretic drugs. These include: hypothiazide, furosemide, uregit, bumetanide. Function: diuretics improve clinical symptoms.
  4. Cardiac glycosides are drugs that can be of both plant and synthetic origin. These include: digoxin. Function: cardiac glycosides reduce the need for hospitalization during an exacerbation of the disease.
  5. Aldosterone antagonists are drugs that block aldosterone receptors. Aldosterone antagonists inhibit the excretion of potassium from the body. Function: Aldosterone antagonists are used in order to achieve compensation for the disease.

Drugs for the left ventricular form of the disease:

  1. If left ventricular failure occurs in the form of cardiac asthma, then the following drugs should be taken: nitroglycerin - helps reduce the load on the myocardium; glucose solution is used to normalize blood pressure.
  2. If left ventricular failure occurs in the form of pulmonary edema, then a diuretic should be taken: furosemide. Diuretics for pulmonary edema are used to reduce pressure in the arteries.

In the right ventricular form of the disease, the same drugs should be taken as in the chronic form of heart failure. These include: captopril, quinapril, lisinopril, ramipril, perindopril, fosinopril, enalapril, non-cardioselective carvediol, cardioselective bisoprolol, cardioselective metoprolol, hypothiazide, furosemide, uregit, bumetanide, digoxin.

Symptomatic picture

During an attack of acute heart failure, symptoms appear simultaneously. Treatment in this case is carried out by the resuscitation team of doctors.

The chronic form of the disease at the initial stage may be asymptomatic or in a mild form. However, with the development of the disease, the signs are increasingly difficult to ignore.

Symptoms of heart failure:

  • Edema of the extremities. In the initial stages of heart failure, the lower limbs swell. At the initial stage of development of heart failure, edema appears at night and disappears by morning. But as myocardial disease develops, the edema becomes permanent.
  • Dyspnea. When shortness of breath occurs, an increase in respiratory rate is observed. In the initial stages of the development of the disease of the heart muscle, shortness of breath appears only during physical exertion. Then shortness of breath begins to appear even when a person does not perform any actions. At the last stage of the development of the disease, shortness of breath does not go away even at rest. Shortness of breath can also occur in older people.
  • Cough is not permanent, but occurs periodically in the form of seizures, even in the elderly.
  • Violation of the heart rhythm. With a lack of heart, there is an increase in heart rate after physical exertion in the initial stages of the development of heart failure. In the subsequent stages of the development of heart failure, the failure of the rhythm becomes permanent.
  • cyanosis, i.e. pallor of the skin.

For the treatment of swelling of the lower extremities, diuretics can be taken even for older people. Diuretic drugs for swelling of the extremities are used to lower blood pressure. Diuretic tablets remove accumulated fluid from the body.

Treatment of shortness of breath

For the treatment of shortness of breath, you should take such drugs that have a diuretic character. Tablets with a diuretic character relieve the body of excessively accumulated fluid. In addition to drugs with a diuretic character, tablets should be taken to treat shortness of breath, causing a decrease in oxygen starvation, since lack of oxygen is one of the causes of shortness of breath. Beta-blockers will help to normalize the supply of oxygen to the body, including in the elderly.

Treatment of cardiac cough and tachycardia

For the treatment of cardiac cough, including the elderly, the following drugs should be taken:

  • Diuretic drugs, since diuretic tablets help to remove excess fluid from the body and reduce the load on the circulatory system. Diuretic drugs include: veroshpiron, indapamide.
  • vasodilators. Vasodilating drugs include atakand, losartan.

These medicines have a number of contraindications, so we recommend that you consult with your doctor. Otherwise, there is a risk of side effects and complications of the disease.

For the treatment of increased heart rate, including the elderly, doctors recommend taking drugs such as amiodarone, cardiodarone, sotalex, amlodipine, lerkamen. These medicines have restorative effects on heart rate, even in the elderly.

Additionally

Treatment for heart failure involves more than just medication. When treating a lack of heart muscle, a number of rules must be observed, some of which will be listed below:

  • Rule number 1: In the process of treatment, it is necessary to perform physical exercises every day. Exercise should not lead to excessive stress on the myocardium, should be moderate.
  • Rule number 2: In the process of treatment, you must follow a diet. Nutrition should be balanced, you should try not to use salt.
  • Rule number 3: In the process of treatment, you should try to avoid stressful situations, as they can aggravate the disease. It should be taken into account that in stressful situations, a strong tension of the myocardium occurs.

Following these rules, in combination with taking the drugs prescribed by the doctor, will help restore the normal functioning of the myocardium.

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  • You may suddenly feel weak and tired...
  • The pressure keeps dropping...
  • There is nothing to say about shortness of breath after the slightest physical exertion ...
  • And you have been taking a bunch of medications for a long time, dieting and watching your weight...

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