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How is heart failure treated?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My mother is 53 years old. I need to discuss her heart problem with you. Two years ago, we learned that she was suffering from heart disease, so we consulted a reputed cardiologist. He examined her and said that the only treatment for her condition was bypass surgery, and prescribed some common medications like Aspirin, Rosuvastatin, etc. She took the medicines for a while but then stopped. However, three months ago, she caught a common cold and consulted a local physician, but did not experience any relief. She then changed doctors rapidly, visiting four different ones, and taking their prescribed medicines for a short time before discontinuing them. This led to damage to her kidneys.

She developed swelling throughout her body, and my father immediately took her back to the cardiologist she had seen two years ago. The cardiologist examined her again, performed all the necessary tests, and informed us that she was suffering from left ventricular dysfunction, with only 20 percent function remaining in her left ventricle. After hearing this, she became deeply depressed and constantly worried about it, telling everyone that her heart was working at only 20 percent.

I would appreciate your advice on this matter. She is weak and afraid of surgery. Is there any treatment that can be done with medication alone?

Answered by Dr. Ilir Sharka

Hello,

Welcome to icliniq.com.

As far as I understand, your mother is suffering from heart failure. Unfortunately, there is not much that can be done to reverse the condition. A definitive solution would be a heart transplant. However, optimizing her therapy could help improve her situation. I would recommend adding an ACE inhibitor (angiotensin-converting enzyme inhibitor) like Lisinopril or Ramipril, or an ARB (angiotensin II receptor blocker). A diuretic such as Lasix or Hydrochlorothiazide would help improve the leg swelling. Aldosterone antagonists like Spironolactone, and a beta blocker for tachycardia, should also be considered. If these medications do not help improve her condition, Sacubitril or Valsartan could be added to her therapy.

Regarding her depression, I would suggest consulting with a psychiatrist. An antidepressant like Sertraline may be helpful.

If you have any further questions, feel free to ask again.

Answered byDr. Ilir Sharka

Medically reviewed byDr. K. Shobana

Published At November 23, 2019
Reviewed AtNovember 27, 2024

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