What is the first line treatment for congestive heart failure?

First-line drug therapy for all patients with HFrEF should include an angiotensin-converting enzyme (ACE) inhibitor and beta blocker. These medications have been shown to decrease morbidity and mortality.

What is the standard treatment for congestive heart failure?

Early recognition and prevention therapies, combined with lifestyle modification, are essential in the treatment of heart failure. Therapy with angiotensin-converting enzyme inhibitors, β-blockers, and diuretics is now standard.

What are new treatments for CHF?

Angiotensin receptor-neprilysin inhibitor, Entresto® (Novartis), a combination of sacubitril and valsartan, and funny channel inhibitor of the sinoatrial node, Corlanor® (Amgen), are two new drugs that have been Food and Drug Association-approved for treatment of symptomatic heart failure patients.

What are the strategies for heart failure treatment?

Optimization of medical therapy is the first line of treatment that includes the use of diuretics, vasodilators (i.e., ACE inhibitors or ARBs), beta blockers, and potentially inotropic agents and anticoagulation depending on the patient’s severity of heart failure and LV dysfunction.

What is standard treatment for CHF?

Heart transplantation is an appropriate treatment for some people with severe CHF. This is most often considered in people under age 70 who do not have significant disease of other organs. Mechanical assist devices, like ventricular assist devices, have also been developed to take over part of the heart’s pump function.

What medications are used to treat CHF?

Sympathomimetic medications act similarly to the sympathetic nervous system and are used when CHF is severe, such as in cardiogenic shock. They treat CHF by increasing the force of the heart’s contraction. Sympathomimetic drugs include dopamine (Inotropin) and dobutamine (Dobutrex).

How do ACE inhibitors help in CHF?

“Super” ACE inhibitors called vasopeptidase inhibitors were also tested for CHF but carry higher risk for side effects. ACE also helps control the amount of blood in your body – your blood “volume.”. Blocking ACE reduces the overall amount of blood in your body.

What is the survival rate of CHF?

Life expectancy rates vary depending on the class of the condition, the age of the patient and other medical or genetic factors. More generally, it is estimated that 50% of people with CHF have another 5 years to life. Just 10% will go on to live another 10 years. This all sounds bleak, but it is important to be aware of the realistic estimates.