Maryland Heart Center
Heart Failure
What is Heart Failure? | Causes
& Risk Factors | Signs & Symptoms |
How is it Diagnosed? | Standard Treatments
| New/Experimental Treatments
Standard Treatments
Heart failure can often be successfully treated through the continuum of care
ranging from medical therapies to heart transplanation.
Most people with heart failure (systolic dysfunction) take ACE inhibitors and
diuretics, digoxin and beta blockers.
- ACE Inhibitors prevent the production of a substance that causes
blood vessels to tighten and raises blood pressure. As a result, blood pressure
drops and the heart does not have to work as hard to pump blood. They also
directly improve the function of the heart.
- Diuretics help reduce the amount of fluid in the body and are useful
for patients with fluid retention and hypertension.
- Digoxin increases the force of the heart's contractions, which helps
to improve circulation.
- Beta blockers block the action of adrenaline, which the body produces
under stress. The drugs reduce demand on the heart, slow the heart rate and
prevent irregular heartbeats.
- Spironolactone has been shown to improve survival in patients with advanced heart failure.
- Biventricular Pacing (Resynchronization Therapy): At the Maryland Heart
Center, a new type of pacemaker is available for some patients, which is used
to help the heart pump more efficiently. Pacemakers are implanted, providing
the ability to pace the heart in special ways to help allevitate heart failure.
- Intracardiac Defibrillators (ICD): Experts at the Maryland Heart Center
have extensive experience placing defibrillators to prevent sudden death in
patients with irregular heart rhythm.
- Mitral Valve Surgery
A heart transplant may
also be considered in the most serious cases. In general, patients with advanced
heart failure who continue to have severe symptoms and who are on maximal medical
therapy should be considered for transplant evaluation. For more information
on our heart transplant program, click
here.
Other treatment of heart failure may include rest, proper diet, and modified
daily activities Weight loss may be recommended. Patients should also eliminate
smoking and alcohol consumption, because both decrease the pumping efficiency
of the heart.
The physicians and care provider team at the Maryland Heart Center actively
communicate with patients regarding staging and the various treatment options.
Please call if you would like to make an
appointment or talk to someone about our services. Patients dial 1-800-492-5538
or 410-328-5842, physicians dial 410-328-6622 or 1-800-318-1019.