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How is heart failure treated?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My mother is 53 years old. I need to discuss her heart problem with you. Two years ago, we learned that she was suffering from heart disease, so we consulted a reputed cardiologist. He examined her and said that the only treatment for her condition was bypass surgery, and prescribed some common medications like Aspirin, Rosuvastatin, etc. She took the medicines for a while but then stopped. However, three months ago, she caught a common cold and consulted a local physician, but did not experience any relief. She then changed doctors rapidly, visiting four different ones, and taking their prescribed medicines for a short time before discontinuing them. This led to damage to her kidneys.

She developed swelling throughout her body, and my father immediately took her back to the cardiologist she had seen two years ago. The cardiologist examined her again, performed all the necessary tests, and informed us that she was suffering from left ventricular dysfunction, with only 20 percent function remaining in her left ventricle. After hearing this, she became deeply depressed and constantly worried about it, telling everyone that her heart was working at only 20 percent.

I would appreciate your advice on this matter. She is weak and afraid of surgery. Is there any treatment that can be done with medication alone?

Answered by Dr. Ilir Sharka

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

As far as I understand, your mother is suffering from heart failure. Unfortunately, there is not much that can be done to reverse the condition. A definitive solution would be a heart transplant. However, optimizing her therapy could help improve her situation. I would recommend adding an ACE inhibitor (angiotensin-converting enzyme inhibitor) like Lisinopril or Ramipril, or an ARB (angiotensin II receptor blocker). A diuretic such as Lasix or Hydrochlorothiazide would help improve the leg swelling. Aldosterone antagonists like Spironolactone, and a beta blocker for tachycardia, should also be considered. If these medications do not help improve her condition, Sacubitril or Valsartan could be added to her therapy.

Regarding her depression, I would suggest consulting with a psychiatrist. An antidepressant like Sertraline may be helpful.

If you have any further questions, feel free to ask again.

Medically reviewed by Dr. K. Shobana
Published At November 23, 2019
Reviewed At November 27, 2024

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

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