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garrett23silver
10-13-2007, 01:08 PM
Failure? - thanks for the answer... how about the medical management for congestive heart failure

PharmD
10-20-2007, 03:49 PM
I'm not sure what you mean by "medical management" for heart failure but here is the standard treatment.1) Determine the cause and/or precipitation factors and treat the underlying condition. Underlying disorders include anemia, hyperthyroidism, valvular disease, coronary disease or drugs that aggravate heart failure. An example of treating the underlying disorder would be valve replacement or repair in a patient with valvular disease.2) Restriction of physical activity in unstable patients is recommended. However, once the patient is stabilized and excess fluid is removed low-intensity exercise can increase exercise tolerance and functional capacity. A patient should talk to their doctor before starting an exercise program.3) Heart failure is treated with many medications. Which ones and how many depends on the degree of heart failure determined by the ejection fraction and patient's symptoms. They include ACE inhibitors, beta blockers, digoxin, diuretics, spironolactone, nitrates, hydralazine, etc. If this does not answer your question, please post a more specific question.