If left side of heart is shutting down what can be done?
1. Medications:
- Inotropic agents: These medications increase the force of myocardial contractions and improve cardiac output. Examples include dobutamine, milrinone, and levosimendan.
- Diuretics: These medications help reduce fluid overload and improve pulmonary congestion. Examples include furosemide, bumetanide, and torsemide.
- Vasodilators: These medications widen blood vessels and reduce afterload, making it easier for the heart to pump blood. Examples include nitroglycerin, hydralazine, and isosorbide dinitrate.
- Beta-blockers: These medications slow down the heart rate and reduce myocardial oxygen consumption. Examples include metoprolol, bisoprolol, and carvedilol.
- ACE inhibitors or ARBs: These medications lower blood pressure and reduce the risk of heart failure progression. Examples include lisinopril, enalapril, losartan, and valsartan.
2. Mechanical Support Devices:
- Intra-aortic balloon pump (IABP): This device helps improve cardiac output by inflating and deflating a balloon in the aorta, which increases blood flow during systole and reduces afterload during diastole.
- Impella Heart Pumps: These devices mechanically assist the left ventricle by pumping blood from the left ventricle into the aorta.
3. Surgical Interventions:
- Coronary artery bypass graft (CABG): This surgery involves grafting healthy blood vessels from other parts of the body onto the blocked coronary arteries, improving blood supply to the heart muscle.
- Valve repair or replacement: If the aortic or mitral valve is damaged, it may need to be repaired or replaced to improve blood flow through the heart.
- Left ventricular assist device (LVAD): This device is implanted to assist the left ventricle in pumping blood, providing long-term mechanical circulatory support.
4. Lifestyle modifications:
- Regular exercise
- Smoking cessation
- Weight management
- Healthy diet
- Alcohol moderation
- Stress reduction
It's important to consult with a cardiologist or healthcare provider who can evaluate your specific condition, determine the underlying cause and provide personalized treatment recommendations based on your individual circumstances.
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