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Cardiac Failure: Treatment Strategies and Supportive Care

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align-items-center justify-content-between"> <div class="col-12 col-sm-4"> <p class="text-muted mb-0"> Short Communication - (2024)Volume 8, Issue 2 </p> </div> <div class="col-12 col-sm-8 text-right custom-column"> <a href="https://www.longdom.org/open-access/cardiac-failure-treatment-strategies-and-supportive-care.pdf" title="View PDF" class="btn btn-sm bg-green-600 rounded-50"><i class="fas fa-file-pdf"></i> View PDF</a> <a href="https://www.longdom.org/pdfdownload.php?download=open-access/cardiac-failure-treatment-strategies-and-supportive-care.pdf&aid=108632" title="Download PDF" class="btn btn-sm bg-green-600 rounded-50"><i class="fas fa-download"></i> Download PDF</a> </div> </div> <h2 class="font-size-7 mt-2">Cardiac Failure: Treatment Strategies and Supportive Care</h2> <a href='https://www.longdom.org/author/john-apro-70069' title='John Apro' style='color:#555; border-bottom:1px dotted #CCC;'>John Apro</a><sup><a href='#John_Apro'>*</a></sup> <div>&nbsp;</div> <a id="John_Apro"></a> <strong><sup>*</sup>Correspondence:</strong> John Apro, Department of Cardiology, University College London, London, UK, <strong>Email:</strong> <i class='fa fa-envelope' aria-hidden='true' title='john_capro@usedu.com'></i> <p><a href="#ai"><strong>Author info &raquo;</strong></a></p> <h4>Description</h4> <p>Cardiac failure, also known as heart failure, is a complex medical condition that requires careful <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/management-22652.html'>management</a> to enhance quality of life and prolong survival. It occurs when the heart is unable to pump blood efficiently that is enough to meet the body needs [<a href="#1" title="1">1</a>].</p> <p><strong>Lifestyle modifications</strong></p> <p>The lifestyle modifications include;</p> <p><strong>Dietary changes:</strong> A heart-healthy diet of low in sodium and saturated fats is important for managing cardiac failure. This involves reducing salt intake to prevent fluid retention and managing portion sizes to maintain a healthy weight. A diet rich in fruits, vegetables, whole grains and lean proteins can support overall heart health.</p> <p><strong>Fluid restriction:</strong> Limiting fluid intake may be necessary for patients with severe cardiac failure to prevent fluid overload, which can increase symptoms such as shortness of breath and edema (swelling).</p> <p><strong>Exercise:</strong> Regular <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/physical-activity-31280.html'>physical activity</a> is beneficial for strengthening the heart muscle and improving cardiovascular fitness. Exercise programs should be supervised and adjusted based on the patient's condition and functional capacity.</p> <p><strong>Smoking cessation:</strong> Quitting smoking is essential for managing cardiac failure as smoking can worsen cardiovascular health and increase the risk of complications.</p> <p><strong>Alcohol limitation:</strong> Limiting alcohol consumption is recommended as excessive alcohol intake can weaken the heart muscle and contribute to heart failure progression [<a href="#2" title="2">2</a>].</p> <p><strong>Medications</strong></p> <p>Diuretics, such as furosemide and spironolactone, are commonly prescribed to reduce fluid retention and alleviate symptoms of congestion in cardiac failure patients. Angiotensin-Converting Enzyme (ACE) inhibitors and Angiotensin II Receptor Blockers (ARBs) are the medications which help to relax blood vessels, lower blood pressure and reduce the workload on the heart.</p> <p>They are important in managing cardiac failure caused by <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/hypertension-26837.html'>hypertension</a> and other conditions [<a href="#3" title="3">3</a>].</p> <p>Beta-blockers, like carvedilol and metoprolol, slow the heart rate and decrease the heart's workload, improving symptoms and reducing the risk of disease progression. Aldosterone antagonist <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/drugs-3667.html'>drugs</a> such as spironolactone and eplerenone block the effects of aldosterone, a hormone that can contribute to fluid retention and heart damage. In some cases, digoxin may be prescribed to strengthen heart contractions and regulate heart rhythm. Patients with cardiac failure may require anticoagulant therapy to reduce the risk of blood clots, particularly if <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/atrial-fibrillation-26545.html'>atrial fibrillation</a> (an irregular heart rhythm) is present [<a href="#4" title="4">4</a>].</p> <p><strong>Devices and surgical interventions</strong></p> <p>Devices and surgical interventions includes;</p> <p><strong>Implantable Cardioverter-Defibrillator (ICD):</strong> An ICD is a device implanted under the <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/skin-29065.html'>skin</a> to monitor heart rhythm. It delivers an electric shock to restore normal rhythm if a life-threatening arrhythmia occurs.</p> <p><strong>Cardiac Resynchronization Therapy (CRT):</strong> CRT involves implanting a special pacemaker that coordinates the contractions of the heart ventricles, improving pumping efficiency in certain types of cardiac failure.</p> <p><strong>Ventricular Assist Devices (VADs):</strong> VADs are mechanical pumps implanted in the chest or abdomen to help the heart pump blood to the rest of the body. They are used as a connection to heart <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/transplantation-16150.html'>transplantation</a> or as destination therapy in patients who are not undergoing transplant [<a href="#5" title="5">5</a>,<a href="#6" title="6">6</a>].</p> <p><strong>Lifestyle and emotional support</strong></p> <p>Lifestyle and emotional support include cardiac <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/rehabilitation-756.html'>rehabilitation</a> and psychological support.</p> <p><strong>Cardiac rehabilitation:</strong> Comprehensive programs that include exercise training, <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/education-26444.html'>education</a> and psychological support can help patients recover from cardiac events and manage chronic cardiac failure effectively.</p> <p><strong>Psychological support:</strong> Living with cardiac failure can be challenging emotionally and psychologically. Counseling and support groups can provide patients and their families with the tools and encouragement needed to cope with the condition [<a href="#7" title="7">7</a>-<a href="#10" title="10">10</a>].</p> <p><strong>Monitoring and follow-up</strong></p> <p>Regular monitoring of symptoms, cardiac function and medication effectiveness is essential for managing cardiac failure. Adjustments to treatment plans may be necessary based on changes in the patient's condition and response to therapy. <h4>Conclusion</h4> <p>The treatment of cardiac failure requires a multi-faceted approach that includes lifestyle modifications, medications, devices and surgical interventions. Treatment to individual patient needs, monitoring closely for complications and providing ongoing support are key to optimizing outcomes and improving quality of life for patients living with this chronic condition. By implementing comprehensive treatment strategies and promoting patient adherence to therapy, healthcare providers can effectively manage cardiac failure and mitigate its impact on patients' lives.</p> <h4>References</h4> <ol> <li id='Reference_Title_Link' value='1'><a name="1" id='1'></a>Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM, et al. 2022 <a href="https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000001063?rfr_dat=cr_pub++0pubmed&amp;url_ver=Z39.88-2003&amp;rfr_id=ori%3Arid%3Acrossref.org">AHA/ACC/HFSA guideline for the <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/management-22652.html'>management</a> of heart failure: A report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines</a>. 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Trends Cardiovasc Med. 2015;25(2):140-151. <p>[<a href="https://doi.org/10.1016/j.tcm.2014.10.005">Crossref</a>] [<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=10.%09Mehta%2C+PK%3B+Wei%2C+J%3B+Wenger%2C+NK+%2816+October+2014%29.+%22Ischemic+heart+disease+in+women%3A+A+focus+on+risk+factors%22.+Trends+in+Cardiovascular+Medicine.+25+%282%29%3A+140%E2%80%93151&amp;btnG=#d=gs_cit&amp;t=1718971062512&amp;u=%2Fscholar%3Fq%3Dinfo%3A1fOnahiZbQ0J%3Ascholar.google.com%2F%26output%3Dcite%26scirp%3D0%26hl%3Den">Google Scholar</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/25453985/">PubMed</a>]</p> </li> </ol> <!----------for extracted references-------> <!-------------------------------> <div class="card bg-light mb-3"> <div class="card-body px-3 pb-0"> <h4 class="font-size-4"><a id="ai"></a>Author Info</h4> <a href='https://www.longdom.org/author/john-apro-70069' title='John Apro' style='color:#555; border-bottom:1px dotted #CCC;'>John Apro</a><sup><a href='#John_Apro'>*</a></sup> <div>&nbsp;</div> Department of Cardiology, University College London, London, UK<br> <div>&nbsp;</div> <p><strong>Citation:</strong> Apro J (2024) Cardiac Failure: Treatment Strategies and Supportive Care. Acute Chronic Dis. 8:218.</p> <p> <strong>Received: </strong>27-May-2024, Manuscript No. ACDR-24-32098; <strong>Editor assigned: </strong>31-May-2024, Pre QC No. ACDR-24-32098 (PQ); <strong>Reviewed: </strong>14-Jun-2024, QC No. ACDR-24-32098; <strong>Revised: </strong>21-Jun-2024, Manuscript No. ACDR-24-32098 (R); <strong>Published:</strong> 28-Jun-2024 , DOI: 10.35248/ACDR.24.8.218</p> <p><strong>Copyright: </strong>&copy; 2024 Apro J. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</p> </div> </div> </div> </div> </div> </section> <footer class="bg-blue-grey-900 py-3"> <div class="container"> <div class="row"> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">Content Links</h4> <ul class="list-unstyled footer-links font-size-3"> <li><a class="" href="https://www.longdom.org/online-tools.html" title="Click here">Tools</a> </li> <li><a class="" href="https://www.longdom.org/feedback.html" title="Click here">Feedback</a></li> <li><a class="" href="https://www.longdom.org/careers.html" title="Click here">Careers</a></li> <li><a class="" href="https://www.longdom.org/privacy-policy.html" title="Click here">Privacy Policy</a></li> <li><a class="" href="https://www.longdom.org/terms-conditions.html" title="Click here">Terms &amp; Conditions</a></li> <li><a class="" href="https://www.longdom.org/authors-reviewers-editors.html" title="Click here">Authors, Reviewers &amp; Editors</a></li> </ul> </div> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">Contact Longdom</h4> <p>Longdom Group SA<br> Avenue Roger Vandendriessche,<br> 18, 1150 Brussels, Belgium<br> Phone: +442038085340 <br><strong>Email:</strong> <a href="mailto:info@longdom.org" class="white" title="Click here">info@longdom.org</a></p> </div> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">Connect</h4> <nav class="nav nav-pills social-icons-footer flex-column a-pl-0"> <a href="https://www.facebook.com/longdompublisher" title="Click here" target="_blank" class="nav-link bg-facebook-hover"><i class="fab fa-facebook-f bg-facebook"></i> Facebook</a> <a href="https://www.linkedin.com/company/longdom-publishing-sl/" title="Click here" target="_blank" class="nav-link bg-linkedin-hover"><i class="fab fa-linkedin-in bg-linkedin"></i> Linkedin</a> <a href="https://twitter.com/LongdomP" title="Click here" target="_blank" class="nav-link bg-twitter-hover"><i class="fab fa-twitter bg-twitter"></i> Twitter</a> <a href="https://www.instagram.com/longdom_publisher/" title="Click here" target="_blank" class="nav-link bg-instagram-hover"><i class="fab fa-instagram bg-instagram"></i> Instagram</a> </nav> </div> </div> <div class="row text-center"> <div class="col"> <p>Copyright &copy; 2024 <a href="https://www.longdom.org/" title="Click here" class="white">Longdom Publishing</a>.</p> </div> </div> </div> </footer> <!--========================== Scroll To Top ============================--> <a href="#0" class="cd-top js-cd-top">Top</a> <!-- Optional JavaScript --> <!-- jQuery first, then Popper.js, then Bootstrap JS --> <script defer src="https://code.jquery.com/jquery-3.3.1.min.js"></script> <script defer src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.7/umd/popper.min.js"></script> <script defer src="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.min.js"></script> <!--Get the app icon js--> <script> jQuery(function($) { $(window).scroll(function fix_element() { $('#target').css( $(window).scrollTop() > 100 ? 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