A member asked:

One of symptom of chf is cough, can ace inhibitors be used as it also causes cough.

5 doctors weighed in across 2 answers

CHF: Treatment of congestive heart failure is complex. One of the most important medications is an ace inhibitor to improve the cardiac function. Although there is a potential side effect of a dry cough in a small percentage of patients using an acei, the benefit far outweighs the risk and it should be a first line medication. Speak with your cardiologist for details of dosing.

Answered 11/28/2017

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Dr. Nathan Almeida answered

Specializes in Internal Medicine - Cardiology

Yes: Cough due to CHF is due to excessive fluid buildup in lungs due to inefficient heart function. Cough due to ace inhibitors is a benign (though irritating) side effect seen in a minority of patients. Ace inhibitors are first line drugs for "systolic" CHF ( due to weakened heart muscle). Presence of cough does not exclude use, but most physicians would switch to alternative "arb" medication.

Answered 4/2/2016

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