Heart failure treatment Flashcards
what drugs are used to treat HF with preserved ejection fraction(right-sided)
loop diuretics, consider antiplatlets + statins as well
what drugs are used as first line treatment of HF with reduced ejection fraction(left-sided)
loop diuretics + ACE or ARB(if ACE not tolerated)
give an example of a loop diuretic and what role they have in HF treatment
used to relieve symptoms of fluid overload
example = furosemide
what drugs reduce morbidity and mortality in HF, and give an example
ACE(e.g lisinopril) + ARB(e.g. losartan)
when would a beta blocker be used in HF, and give an example
if patient has angina
example = bisoprolol
what drug is used as second line therapy if symptoms persist in HF with reduced ejection fraction, and give an example
aldosterone antagonists
example = spironolactone
when would antiplatelets be considered in HF treatment, and give an example
considered if there is atherosclerotic disease
example = ticagrelor/clopidogrel
when would statins be considered in HF treatment, and give an example
considered as part of prevention
example = simvastatin
what drug is useful for treating acute exacerbations of HF
digoxin
what drugs are especially used in afro-carribean patients
nitrates and hydralazine
describe some general measures taken in HF management
stop smoking, limit alcohol, monitor weight, reduce salt, increase exercise
describe what an implantable cardioverter defibrillator(ICD) does, and when it would be used in HF
detects abnormal rhythms and delivers antitachycardia pacing/shocks
used if significant risk of sudden death
when would cardiac resynchronisation therapy be used in HF
for patients with long QT intervals
