Examples include carvedilol (Coreg), metoprolol (Lopressor, Toprol-XL, Kapspargo Sprinkle) and bisoprolol.ĭiuretics. If you have heart failure, beta blockers may help you live longer. They reduce the symptoms of heart failure and help the heart work better. These medicines slow the heart rate and lower blood pressure. It may help prevent the need for a hospital stay in those people. It's used to treat some people with heart failure with reduced ejection fraction. The combination medicine is sacubitril-valsartan (Entresto). This medicine uses two blood pressure drugs to treat heart failure. Angiotensin receptor plus neprilysin inhibitors (ARNIs).They include losartan (Cozaar), valsartan (Diovan) and candesartan (Atacand). They may be an option for people who can't tolerate ACE inhibitors. These drugs have many of the same benefits as ACE inhibitors. Angiotensin II receptor blockers (ARBs).Examples include enalapril (Vasotec, Epaned), lisinopril (Zestril, Qbrelis) and captopril. These drugs relax blood vessels to lower blood pressure, improve blood flow and decrease the strain on the heart. Angiotensin-converting enzyme (ACE) inhibitors.Medicines to treat heart failure include: The specific medicines used depend on the cause of heart failure and the symptoms. MedicationsĪ combination of medicines may be used to treat heart failure. With treatment, symptoms of heart failure may improve. Some people with heart failure need surgery to open blocked arteries or to place a device to help the heart work better. If another health condition is causing the heart to fail, treating it may reverse heart failure. Treatment often includes lifestyle changes and medicines. Treatment of heart failure may depend on the cause. Your provider can help you interpret your stage. Health care providers often use the classification systems together to help decide the most appropriate treatment options. Advanced heart failure requires specialized treatments. There is heart disease and signs or symptoms of heart failure. There is heart disease but no signs or symptoms of heart failure. There are several risk factors for heart failure but no signs or symptoms. ![]() It includes a category for people who are at risk of developing heart failure. This stage-based classification system uses letters A to D. This category includes the most severe heart failure.Īmerican College of Cardiology/American Heart Association classification It's difficult to complete everyday activities. But exertion causes shortness of breath or fatigue. Everyday activities can be done without difficulty. You may see Roman numerals used for these category names. This system groups heart failure into four categories by number. There are two main ways to determine the stage of heart failure: New York Heart Association (NYHA) classification Staging helps determine the most appropriate treatment. This test may be done to diagnose certain types of heart muscle diseases that cause heart failure.ĭuring or after testing for heart failure, your health care provider may tell you the stage of disease. In this test, a health care provider removes very small pieces of the heart muscle for examination. The dye helps the arteries show up more clearly on X-ray images and video. Dye flows through the catheter to arteries in the heart. The health care provider inserts a long, thin flexible tube called a catheter into a blood vessel, usually in the groin or wrist. This test helps spot blockages in the heart arteries. This test uses magnetic fields and radio waves to create detailed images of the heart. Heart MRI scan, also called a cardiac MRI.Also called a cardiac CT scan, this test uses X-rays to create cross-sectional images of the heart. If you can't exercise, you might be given medicines. Exercise tests can show how the heart responds to physical activity. These tests often involve walking on a treadmill or riding a stationary bike while the heart is monitored. But you can still have heart failure even if the number is considered ideal. An ejection fraction of 50% or higher is considered ideal. ![]() The result helps classify heart failure and guides treatment. ![]() This measurement is taken during an echocardiogram. Ejection fraction is a measurement of the percentage of blood leaving your heart each time it squeezes. This test shows the size and structure of the heart and heart valves and blood flow through the heart. Sound waves create images of the beating heart. It can show how fast or how slowly the heart is beating. This quick and painless test records the electrical signals in the heart. X-ray images can show the condition of the lungs and heart. In heart failure, the level of this protein goes up. Blood tests also can look for a specific protein made by the heart and blood vessels. Blood tests can help diagnose diseases that can affect the heart. Tests that may be done to diagnose heart failure may include:
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