Guidelines for treatment of heart failure:
1. Treatment of the underlying etiology.
2. Treatment of the precipitating factors.
3. Treatment specific to the syndrome of HF:
• Decreasing the cardiac load:
a. Rest: physical and emotional.
b. Reduction of preload:
Diet control, especially salt restriction.
Diuretics.
Vasodilators.
c. Reduction of afterload:
Vasodilators.
• Decreasing the myocardial damage:
o Beta blockers.
• Increasing the myocardial contractility:
a. Digitalis.
b. Other inotropic agents:
o Sympathomimetic amines: dopamine & dobutamine.
o Phosphodiestrase inhibitors: amrinone & milrinone.
• Resynchronizing the ventricles: "CRT"
o In patients with cardiomyopathy who have the problem of :
Intraventricular conduction delay or bundle branch block
• Symptomatic treatment:
a. For hypoxemia: oxygen administration.
b. For cardiac dyspnea: aminophylline administration.
4. Treatment of the refractory heart failure.
5. Treatment of acute pulmonary edema.
• Decreasing the cardiac load:
a. Rest: physical and emotional.
b. Reduction of preload:
Diet control, especially salt restriction.
Diuretics.
Vasodilators.
c. Reduction of afterload:
Vasodilators.
• Decreasing the myocardial damage:
o Beta blockers.
• Increasing the myocardial contractility:
a. Digitalis.
b. Other inotropic agents:
o Sympathomimetic amines: dopamine & dobutamine.
o Phosphodiestrase inhibitors: amrinone & milrinone.
• Resynchronizing the ventricles: "CRT"
o In patients with cardiomyopathy who have the problem of :
Intraventricular conduction delay or bundle branch block
• Symptomatic treatment:
a. For hypoxemia: oxygen administration.
b. For cardiac dyspnea: aminophylline administration.
4. Treatment of the refractory heart failure.
5. Treatment of acute pulmonary edema.
heart failure guidelines 2015
heart failure guidelines 2016
congestive heart failure
heart failure guidelines 2014
heart failure guidelines
esc guidelines 2016
dyslipidemia guidelines
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