What is the first-line treatment for congestive heart failure?

What is the first-line treatment for congestive heart failure?

Loop diuretics should be used as first-line agents, with thiazides added for refractory fluid overload. Diuretic treatment should be combined with a low-salt diet,8 a β-blocker, and an ACE inhibitor. The practitioner should begin with oral furosemide, 20 to 40 mg once daily.

What is the most effective treatment for congestive heart failure?

Surgery. Medicines are the main treatment for heart failure, but for some people surgery may help. Operations that can help with heart failure include: heart valve surgery.

What is the drug of choice in CHF?

Digoxin has been the traditional first drug of choice for CHF, but with protracted controversy about its efficacy and safety. It is hope that new agents as vesnarione, and ibopamine may improve contractility without having adverse consequences.

Which one of the following drugs is commonly prescribed for heart failure HF )?

Commonly prescribed include: Bisoprolol (Zebeta) Metoprolol succinate (Toprol XL) Carvedilol (Coreg)

How do ACE inhibitors treat heart failure?

ACE inhibitors dilate the blood vessels to improve your blood flow. This helps decrease the amount of work the heart has to do. They also help block a substance in the blood called angiotensin that is made as a result of heart failure.

Why is furosemide used for CHF?

Furosemide is given to help treat fluid retention (edema) and swelling that is caused by congestive heart failure, liver disease, kidney disease, or other medical conditions. It works by acting on the kidneys to increase the flow of urine.

Which beta blockers can be used in heart failure?

There are several types of beta-blockers, but only three are approved by the FDA to treat heart failure:

  • Bisoprolol (Zebeta)
  • Carvedilol (Coreg)
  • Metoprolol (Toprol)

Which 5 classes of drugs are used in the management of heart failure?

Five types of drugs were considered as the agents of choice in the treatment of chronic heart failure: angiotensin-converting enzyme (ACE) inhibitors, β-adrenoceptor antagonists (blockers), potassium sparing diuretic (spironolactone), cardiac glycosides, and diuretics other than the potassium-sparing class.

Which beta-blockers can be used in heart failure?

Which drug reduces preload and afterload?

Milrinone. Milrinone is a positive inotropic agent and vasodilator. It reduces afterload and preload and increases cardiac output.

What do ACE inhibitors do for heart failure?

Why are ACE inhibitors first line for heart failure?

ACE inhibitors dilate the blood vessels to improve your blood flow. This helps decrease the amount of work the heart has to do. They also help block a substance in the blood called angiotensin that is made as a result of heart failure. Angiotensin is one of the most powerful blood vessel narrowers in the body.