Treatment for heart failure usually aims to control the symptoms for as long as possible and slow down the progression of the condition. Treatment will usually be needed for life.
All heart failure patients will need:
Lifestyle changes – including eating a healthy diet, exercising regularly and stopping smoking and watching fluid intake and reduce alcohol consumption.
Medicine – a range of medicines can help; many people need to take three to four different types which have evidence to show they strengthen the heart and improve prognosis. This includes beta-blockers, ACE inhibitors, ARNI and SGLT2 inhibitors. Other medicines, such as diuretics, may be used to help with the symptoms.
In cases where patients are seen to be experiencing continued deteriorating heart function despite the best and optimal medication, the following may be considered:
Cardiac resynchronizing therapy – In very severe heart failure conditions, a specialized type of pacemaker has shown to benefit and improve symptoms as well as prolonging life by resynchronising the contractility of the two main pumping chambers of the heart.
Cardiac transplant – If there is no scope for recovery and the condition deteriorates then in suitable patients, a heart transplant may be considered.