As the prevalence of heart failure continues to increase globally, understanding and harnessing the power of nonsurgical interventions becomes increasingly critical.
In this article, where we look for effective strategies to manage this common cardiovascular disease without invasive methods, we examine a myriad of non-invasive methods, from lifestyle modifications to advanced drugs and innovative devices, all aimed at improving heart function. , increasing the quality of life and extending survival.
As explained in detail in the article “Treatment of congestive heart failure,” the treatment can vary based on the progress of this disease, from exercise and medicine to surgery.
This detailed article from drhealthandbeauty by Dr. Sanaz examines nonsurgical treatment methods for this disease in more detail.
So, whether you’re a patient looking for an alternative to surgery or a healthcare professional exploring the latest advances in CHF management, join us on this journey to discover the myriad possibilities for fighting congestive heart failure without going under the knife. Go, explore.
Various factors such as coronary artery stenosis, high blood pressure, anemia, thyroid diseases, heart rate irregularities, and diabetes can lead to heart failure, the treatment of which helps to cure heart failure.
Changing life habits often lead to recovery or control of some factors affecting heart failure. In this treatment method, it is recommended:
Regular exercise has many benefits in patients with heart failure:
Performing physical exercises by the patient increases the patient’s tolerance to fatigue, reduces the incidence of shortness of breath, and improves endurance and tolerance of physical activity. This condition enables them to do most of their daily tasks and personal tasks by themselves.
Also, physical exercises reduce patients’ depression and improve their general health. Aerobic exercises that take place in the form of walking, cycling, jogging, and especially home exercises on exercise bikes increase the physical fitness of the patient.
Performing strength exercises by the patient not only improves strength and muscle mass but also increases muscle endurance. Physical activity has a positive effect on heart muscle function and stroke volume.
You should consult with your medical team to begin an exercise program. If you do not have the prohibited conditions for exercise, they will do an exercise test on you and select you for the type and amount of exercise.
It guides. For more guidance, it is better to refer to cardiac rehabilitation centers and start exercising in these centers first.
Patients with chronic heart failure should begin a rehabilitation program as soon as they are discharged from the hospital to ensure and prevent re-hospitalization.
Aerobic activity is usually preferred, in which the intensity and duration of physical activity sessions gradually increase. At first, the physical activity of patients should be done under the supervision of a doctor.
Examples of increasing aerobic exercise programs for patients with chronic heart failure:
During the first four weeks, the sessions start with a 10-minute warm-up at low intensity in the form of walking or cycling, and after that, the intensity of physical activity increases to moderate intensity for 10 minutes and continues for 5 minutes at low intensity. he does.
This program is repeated two times in the first week, three times in the second week, and four times in the third week.
The training program in weeks 4-8 is the repetition of the program of the third week.
There are many exercises that you can learn in rehabilitation centers and repeat in your daily life.
Proper nutrition plays an important role in the health of patients with heart failure. Proper nutrition will reduce the symptoms of the disease, reduce your need for some drugs, and make the drugs work better.
It is important to pay attention to these nutritional points:
In many patients with heart failure, there is also coronary artery stenosis, and in these cases, it is necessary to follow a low-cholesterol diet: avoiding butter and animal oils, using low-fat meat, removing the skin from chicken, and using oil. Vegetables such as olive oil and sesame.
Other dietary recommendations:
You may have other diseases such as diabetes, high blood fat, gout, lung diseases, and heart failure, in which case you should get a diet plan by consulting a nutritionist. If you are losing weight, you should consult a nutritionist so that enough calories reach your body and reach the desired weight, and in case of obesity, you should consult a nutritionist.
All the recommendations mentioned above are for teaching the patient and may be changed in special cases with the opinion of the attending physician.
The drugs used to control heart failure are different in different stages of the disease, and depending on the severity of the disease and its causative agent, different drugs can be used.
In acute heart failure and in situations where the heart failure is very severe and a lot of fluid accumulation in the lungs prevents breathing and oxygen supply to the body, or there is a severe drop in blood pressure, the patient is admitted to a special ward and treated with injectable drugs. His serious condition and “pulmonary edema” are used. As:
Considerations for diuretics – Diuretics include the following:
Considerations of vasodilators for nonsurgical treatment of heart failure
In the acute stage of the disease, it may be necessary for the patient to receive oxygen or be connected to ventilators.
In stable conditions and after the acute conditions of the disease are resolved, oral drugs are used to treat and control heart failure.
Some of these drugs are necessary for the treatment of heart failure, and their regular use – even when the patient does not have symptoms of heart failure – improves the heart’s function and increases the patient’s life.
In some cases, the doctor notices heart failure while examining the heart for another reason or during the heart health checkup process without the person having any symptoms of heart failure. Numerous scientific studies have shown that the use of some drugs, even in the asymptomatic stage of heart failure, can improve heart function and increase a person’s life span.
Therefore, these people and all patients with heart failure should use these drugs unless prescribed by a doctor due to low blood pressure or other reasons. As:
ACE inhibitor family drugs such as captopril, lisinopril, and enalapril. These drugs reduce blood pressure and reduce the resistance to the heart, make the heart pump blood more easily, increase life expectancy, and reduce mortality.
These drugs can be used together to treat high blood pressure, which is commonly seen in heart failure patients.
ARB family drugs, such as losartan, help to reduce the symptoms of heart failure with the same mechanism of action as ACE inhibitor family drugs.
MRA drugs such as spironolactone (aldactone) and eplerenone. On the one hand, these drugs have diuretic properties and remove the accumulated water in the body, and on the other hand, they reduce the damage to the heart tissue and reduce its fibrosis.
in the long run, especially in diabetic patients, they reduce mortality and disability. The heart helps.
Important note: Patients who use the above category of drugs, especially several drugs together, should be careful of excessive increase of potassium in their blood. (pay attention to the considerations of diuretic drugs)
Beta-blocker family drugs such as carvedilol, metoral succinate, and bisoprolol. This group of drugs reduces the heart rate and prevents its increase in activity, reducing the heart’s need for oxygen and increasing the contractile efficiency of heart cells.
There are other groups of drugs that are prescribed according to the needs and symptoms of the patient, and the doctor may reduce or increase their amount or even stop their use after examining and examining the patient, such as:
Diuretics such as furosemide, triamterene and hydrochlorthiazide. By excreting sodium and salt from the body, these drugs cause water to be removed from the kidneys and reduce water retention in the body.
Naturally, in patients who are not careful with their salt consumption, larger amounts of these drugs will be needed, and in proportion to the reduction in sodium and salt consumption, the required amount of these drugs will also decrease.
(Refer to the considerations of diuretic drugs)
Heart-stimulating drugs such as digoxin. This drug increases the contractile strength of the heart with a complex mechanism.
Of course, in addition to the drugs required for the treatment of heart failure, it is necessary for patients to take other drugs prescribed by the attending physician for the treatment of other heart diseases.
Although with the increase in the number of drugs used, the possibility of drug interactions increases, especially in the elderly, for some specific diseases such as coronary artery stenosis, artificial valves, diabetes, high blood lipids, high blood pressure, and the treatment of leg vein clots or embolism.
Other lung medications are required and should be continued under the supervision of a physician.
Patients with heart failure should consult their doctor before starting any new medication (by other doctors and for other diseases) to avoid drug interactions.
There are some medicines that are harmful to heart failure, and their use, even for a short period of time, can cause the symptoms of the disease to go out of control and make patients with heart failure sick.
These programs help the patient to exercise properly and safely and modify their lifestyle, which is very useful for his heart. This program includes appropriate exercise instructions, education, and changes in risk factors like smoking cessation and diet changes.
In these programs, the person is supported emotionally. This program helps a person to meet other patients similar to him and choose a healthy and balanced way for his life in consultation with them.
If you have heart failure, your salt intake should not exceed 1500 mg per day.
The effectiveness of nonsurgical treatments for heart failure varies depending on the stage of the disease and individual factors of the patient.
In stage A, nonsurgical heart failure treatments can be effective in decreasing the onset of heart failure.
In stage B, the drugs used can help improve heart function, reduce the risk of progression to symptomatic heart failure, and increase life expectancy.
In stage C, nonsurgical treatments are important to manage signs, improve quality of life, and reduce the risk of hospitalization.
In stage D, which is the advanced stage of heart failure, nonsurgical treatments focus on palliative care, sign management, and improving quality of life.
By reading this article on nonsurgical treatments for congestive heart failure, you will have learned that there are many options for managing this complex condition without resorting to surgery.
From medication regimens tailored to individual needs to lifestyle adjustments that promote heart health, all These non-invasive approaches offer hope and promise to patients around the world.
Although the valuable learnings of this article will give you a clear view and a detailed and reliable guide for you, the journey to optimal heart health does not end here.
It is essential to consult with health care professionals, including cardiologists and primary care physicians, to design a comprehensive cure plan tailored to your unique situation. Additionally, staying abreast of advances in CHF management and maintaining a proactive approach to self-care are essential steps in the ongoing battle against heart failure.
Dr. Majid Zohrabi started treating his patients in Dubai in 2022 and continues his activities in private medical centers in the UAE.