Doctor insights on:
Acute Congestive Heart Failure Treatment
74 year old father has melanoma, congestive heart failure and copd. What are the best forms of treatment?
Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more
Salt monitoring: Treatment consists of a good dietary regimen with monitoring of salt intake about 2000 mg salt per day. Second aspect pf therapy is pharmacologic therapy which will be individualised based on the type of heart faiure and other factors that your cardiologist will decide. ...Read moreSee 1 more doctor answer
Common themes: The real answer depends on the cause. There are common themes, though. If you have CHF with lv dysfunction, you will probably benefit from some level of regular exercise, angiotensin blockade (ace/arb), beta blocker therapy, and an aldosterone blocker. (all of those things should be considered.) heart failure is a speciality inside cardiology and there are heart failure teams for expert care. ...Read moreSee 1 more doctor answer
Many: The cornerstone of therapy is a diuretic ("fluid pill"). Drugs that dilate the blood vessels (vasodilators, ace inhibitors) and drugs that reduce the work load of the heart (beta blockers) should always be included unless there is a specific contraindication. A drug that blocks the hormone aldosterone (spironolactone or inspra) should also be used if possible. The underlying cause should be sought. ...Read moreSee 2 more doctor answers
What is congestive heart failure? How is it contracted, what is the treatment, how does it affect life expetancy ?
Failure of the heart: Failure of the heart muscles to pump blood effectively from the chambers to the body/lungs leading to back up of blood . Caused by heart attacks, (coronary artery disease) long standing hypertension/diabetes, chemotherapy, congenital heart defects, intractable rhythm problems. Life expectancy depends on underlying cause. ...Read more
Multiple treatments: Salt restriction is obvious. Medication classes that may help (usually a combination of several is best) include the ace-i's, arb's, beta blockers, and aldosterone antagonists, and diuretics. The choice of treatments will be determined by contributing factors such as valvular problems, coronary disease, rhythm disturbances, kidney function, etc. Any remediable causes should be treated. ...Read more
Why don't men want to go to doctors? My husband has congestive heart failure, and I feel I have to drag him in to be seen. What will happen to him without treatment?
Fear: Without treatment of significant congestive heart failure you can expect worsening disability and hastening death. As to your question as to why men don't want to go to the doctor it is usually fear of having to deal with the unknown. Reassure him, tell him that you are with him all the way and perhaps he will listen. ...Read moreSee 1 more doctor answer
Be careful: This is an experimental treatment that is showing a lot of future promise. The overall efficacy and side effects are still being evaluated That being said there are a LOT of quacks out there selling this as a treatment to hopeless patients for a huge amount of money. Don't blow your life savings on one of these overseas clinics, it will be a waste of time/money and dangerous. ...Read more
Congestive heart failure is causing clear fluid to leak through my skin on both legs from ankle to mid-calf. Treatment?
CHF: Treatment depends on what the cause of the CHF is. Could be surgical, could be medical. Systolic CHF is different from diastolic CHF and valvar stenosis CHF is different from valvar insufficiency chf. Virtually all kinds have diuretic as part of the treatment. ...Read moreSee 1 more doctor answer
Medications: The categories of medicines used are called ace inhibitors, arb's, beta blockers, diuretics, and digoxin. Other things can be done such as salt and/or fluid restriction. Control of the underlying cause of the heart failure also needs to be considered. That might require repairing a valve, removing a blockage in an artery, or treating high blood pressure. ...Read moreSee 2 more doctor answers
CHF: CHF treatment depends on the cause of the CHF. If its severe valve disease, valve surgery may be indicated. If its muscle disease then a bunch of medications are used, if its too much heart muscle and abnormal relaxation rather than contraction, then other steps are used, you have to have a cause to treat and then use what works with that kind of CHF ...Read more
Heart Failure: Your question is too broad and difficult to answer here. Please refer to the following article: http://circ.Ahajournals.Org/content/128/16/e240. ...Read more
I was wondering what are the effects of hyperbaric oxygen treatments on congestive heart failure?
Does not "work": Hyperbaric treatment (hbot) is relatively contraindicated non compensated chf. Poorly functioning heart muscle contributing to CHF can precipitate acute CHF primarily from "pressure" effects of hbot. Hbot does not "help heal" CHF or improve poor cardiac function. ...Read moreSee 2 more doctor answers
Treat the CHF, fully: CHF leads to poorly oxygenated organs, causing shortness of breath, less ability to do same activity as used to, many systemic sx such as fatigue, loss of appetite. Nausea, weakness. First. Doc must establish that something else isn't causing nausea (side effect of med, gastritis, reflux of acid), and rx that. But key is optimizing rx (right combo meds, low salt intake, mild exercise) of the chf. ...Read more
D/W doctor.: Please discuss with your physician before trying any alternative solutions. Probably the simplest way to reduce nausea is with ginger. You can drink slightly flattened ginger ale or nibble on crystallized ginger. Or pour boiling water over freshly sliced organ ginger & steep x 5 min in a covered pot. Sip. ...Read more
It can happen: Unfortunately, sometimes young people also get affected by heart failure. Most often it relates to a viral infection that infects the heart muscle, called "myocarditis". This can lead to substantial heart failure in young patients, and is treated similarly to older patients with hf. However, sometimes the disease can get so bad that heart transplant needs to be considered. ...Read more
It can give clues: Heart failure is a complicated diagnosis to make and is usually based on history and physical exam findings. An ekg may give clues that point towards a diagnosis of heart failure but can not fully diagnose it. You may be confusing the term heart failure with heart disease. Ask you doctor about further specifics. ...Read more
I have congestive heart failure and the diuretic i take is no longer working. What other options are the to avoid water rent emotion?
Change diuretic?: You should ask your physician, if you are on hydrochlorthiazide (h) if you should go to a loop diuretic, forsemide (f). Patients with chronic kidney disease do not respond to h but do respond to f. If that does not work, ask to have an echocardiogram to see if you have pulmonary artery hypertension (p) and what your ejection fraction is. If you have p, there is medicine for that to lessen edema. ...Read moreSee 1 more doctor answer
Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more
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