Top 7 Heart Failure Treatments Proven to Improve Outcomes
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- čas přidán 23. 06. 2024
- Congestive heart failure is a relatively common condition in the community. In the previous episode, Professor Barlis introduced what some of the common symptoms and causes for heart failure are. In this episode, we focus on some of the established therapies used to help improve symptoms and outcomes in those suffering with this condition. As always, information is presented for education purposes only. For specific advice please see your local health care professional.
Chapter Links:
00:00 - Chapter 1 Introduction
01:31 - Chapter 2 Beta Blockers
02:40 - Chapter 3 ACE Inhibitors
03:25 - Chapter 4 Angiotensin 2 Receptor Blockers
04:29 - Chapter 5 Mineralocorticoid Diuretics
05:44 - Chapter 6 Ivabradine
06:36 - Chapter 7 Entresto
07:56 - Chapter 8 SGLT2 Inhibitors
09:13 - Chapter 9 Conclusion
Previous episode on some of the symptoms and causes for congestive heart failure:
• Heart Failure: What ar...
I love the way you explain. You are a highly professional doctor and professor who can educate your followers well. Keep doing what you are doing. You are precious😊
Thank you for your wonderful vidios, the information has given me and I'm sure others hope.
I was diagnosed with heart failure in November 2023. I had a triple heart bypass in 2013 and it is thought that damage to the heart back then has increased over the last 11 years. After my CABG in follow-up, my ejection fraction was 60%. In November 2023, when I was experiencing breathlessness on only slight exertion, the EF was measured at 25 - 35%. The hospital cardiologist put me on a daily regimen of medications, which have improved my condition considerably. These are: Dapagliflozin, Entresto, Furosemide, Eplerenone, and Bisoprolol. However, I had been taking Bisoprolol and before that Atenolol for many years. In addition to the meds listed, I also take Apixaban and Rosuvastatin. I'm 78, male, living in England, and I'm just about to mow the back lawn.
What about garlic and fish oil? Most of the drugs have side effects.
Thank you for a very informative breakdowns of each treatment. I’ll share with my father who st 93 recently suffered heart failure.
Thank you very much De
Thank you for sharing 🙏🏻
what about statins?
Thanks
Thank You!
First time I've heard beta blockers improving heart strength. Up is down and down is up? Beta agonists make my heart beat stronger.
thanks
I’m on Entresto, cadivolol, Jardiance, and Rosuvastatin & also just got a pace maker implanted still not feeling too good. I’m always dizzy now and super tired, can’t sleep no desire to do anything anymore. I hope in due time I can bounce back to half way feeling good. Are these medications a good combo? Has anyone been on these meds? My heart is working at 25% unfortunately guess that’s why I’m so extra tired. Ugh this really does suck I’m only 45 yrs old 😔
Keep going and don't give up. Exercise everyday and bit by bit do more. It will strengthen your heart. Good luck and keep going 🎉❤
@@gillc9773 Thank you I will 🙏
Looks like you're on the right regimen. I'm also on spironolactone. I read something about arjuna bark powder which I received today. I also saw a CZcams video on Barostim therapy which I shall ask my doc about. Sounds promising. I was 50 when my EF was 23%. It went back up to 35% with the right pill regimen and then because they had to take out and replace my whole ICD I am now back to 25%. But I had a good run as I'm now 64.
Coenzyme Q10 is good for heart failure and gives extra energy without side effects. Eat lots of vegetables, salads, fruits also. I hope you feel better very soon.
You probably should be on a diuretic as well - spironolactone or torsemide
Stick with it, diet, exercise and the right drugs will help get you back on your feet. Watch the sodium intake and walk, walk a lot - the more you exercise the less fatigue and the better you will feel oddly ❤
Thank you undwersrarood clear
?????? What is that word??
This is interesting, I'm on an ACE2 inhibitor and still have a bit of a coughing problem still, and it seems they reduce arterial inflammation as well as the other reported functions.
My heart rate was in the range of 50-68 before I was on beta blockers, now it's 58-78 which is interesting given what's presented here. The beta blocker also (I believe) is responsible for relaxing my stomach's upper sphincter resulting in me needing to take an ion pump inhibitor due to continuous indigestion in the absence thereof. Another side effect I noticed was that I was given a corticosteroid while recovering from COVID and the combination gave me 24hr hiccups (every 5-10 seconds), I had to stop the steroid because I couldn't sleep and it was really painful after a while.
I also take a diuretic called Moduretic that works so well that I take 1/4 tablet of the smallest available lest my BP gets so low that I'm dizzy sitting down. I've tried various others and they do not agree with me (rapid heart rate between 90-130).
Hello! I discovered that chewing Airwaves Menthol and Eucalyptus chewing gum got rid of my ACE2-induced cough... Do try it!
Understood
nice video. does fargixa help reduce swelling in the lower legs and ankles from heart failure?
Forxiga can, it has some properties like medicines called diuretics. Also by improving heart function, this will also help prevent fluid build up in the lungs and legs
Read the contradictions of that medicine very dangerous class action suit taking place! I would not take it
Can you please tell a solution for dry cough when use medicines for low EF?
Is there any tonic to increase hearts EF?
How to order
I have mild dilated left ventricle and moderate systolic dysfunction at 45% …is my breathing feeling really relaxed and laboured for weeks a normal symptom aswel as anxiety, paleness and muscle loss from being inactive
What about Diltiazem calcium channel blockers?
I have question that, Are all these drugs mentioned also help improve increase the reduced EF and strength heart after angioplasty?
Great quesion, most medicines like beta blockers and a class of drug called angiotensin converting enzyme inhibitors (ACE Inhibitors) also help improve strength of the heart muscle.
I take almost all of the medications mentioned. My ejection fraction fell from 60% in 2013 to between 25% and 35% in November 2023. I was admitted to hospital (UK) with increasing shortness of breath and put on this cocktail of drugs, also including Rosuvastatin. That was about six weeks ago. I was discharged after five days on the acute cardiac ward and since I started on the new medication regimen I feel considerably better. I used to get out of breath just climbing the short flight of stairs in my house. Now I can go for a one mile walk without problems. As far as I'm concerned, these meds are wonder drugs! It's a bit of a hassle every morning, and to some extent before bed, doling out each of ten* medications, but I'm a 77-year-old retired computer programmer, so I can approach the challenge in a consistent manner, with tracking charts, even little programs I've written for myself. It's the only way, otherwise it would be too easy to miss one or other medication.
* Ten also includes non-heart-related medications such as Tamsulosin for enlarged prostate and Lansoprazole.
Which medicines are you taking plz give the names plz
Heart matters: I bought some ashwaganda and then found out from my nephrologist that it is contraindicated for dialysis ( I don’t know if it’s ok if you have kidney disease). Please check with your doctor first.
Thank you for sharing Doc for I have not seen my cardiologist in 6 months cause of the mask waring.
William, this has been a major challenge, face to face patient doctor visits have been compromised and it is difficult to adequately assess patients over the phone.
I thought you would cover Jardiance.
Jardiance is a trade name, it is an SGLT2 inhibitor (empagliflozin) which I included so it is a very useful drug.
I have had heart failer for a long time on medication for it 2:49
Excellent tqvm.
Which is the best for HFpEF?!
Great question, we have several options slowly emerging for heart failure with preserved heart function, the basics of diuretics are important to control symptoms managing underlying conditions e.g. high blood pressure, valve disease,, obesity, obstructive sleep apnea are critical. Medications like SGLT2/gliflozins are showing some benefits too. Thanks for suggesting this topic for an upcoming video!
Side effects???
Is there any treatment for heart scarring after a heart attack Any class of drugs, nutrients, and/or diets that can minimize heart scarring to increase EF?
great question, many things have been tried, with variable success including things like gels made of seaweed. Will add to an upcoming Q&A!
Would you recommend Entresto tablets for HF , with EF of 10%...
Entresto works for me also Farxiga. Best of luck
Works for me so far
@@JeseniaRodriguez-lc5orsince how long you have been taking entresto?
Amiodorone??? Losartan? Eliquis?
Thank you! Losartan is an angiotensin 2 receptor blocker drug that is included in the top 7. Amiodarone is a drug to help control the rate and rhythm of the heart but no prognostic benefit in improving outcomes directly from heart failure. Eliquis is a blood thinner that may be often needed but again, does not improve the strength of the heart.
Those medicines have side effects!! I used to take them prescribed by my cardiologist and have stopped taking after I switched my diet from low fat high carb diet to high fat low carb diet such as keto. I have been staying away from sugar and reduced carbo intake as much as possible. I am doing just fine by only taking supplements namely D3, K2, Zinc, vit C and Magnesium daily👍👍👍.
Same here, but there’s more money in getting the public hooked on drugs (cough Pfilzer)
You lost me BIG TIME!! I think I have tried every single one of those drugs; not only did they NOT help, the side effects were horrible…and on top of that, more research seems to show that they really don’t have much benefit when it comes down to the nitty gritty.-
I'm doing the same here plus intermittent fasting . I have experienced a big drop in my blood pressure reading after stopping the consumption of sugar. Started doing a exercise program. I was taking all these medications but felt terrible.
How much
My potassium is 5.4, with good k kidney function. The doctor never mentioned it could be my sperlactone with beta blockers. I'm gonna bring it up on my next dr. Visit
My own is caused by high blood pressure and my cardiologist said my right ventricle is not okay .
I want to reverse it because lam awaiting mother. I m worried if I can be able to give birth with the heart failure. Which natural means or supplement can help me
That is a very important suggestion, I will work on a video to look at all the natural supplements that can be useful when managing various cardiovascular conditions, thank you for taking an interest in the channel!
Ernesto has not been tested fully and only by the manufacturer . 17% died. I stopped taking it after 3 days, having really bad pulse v bp.
Is it okay to take Ashwaganda herbal medicine if I’m a heart patient. Is there any other vitamins we should take to keep the heart healthy? Thank you for all the helpful advice. 🙏😄
Ashwaganda has several positive benefits, particularly in conrolling how the body releases stress hormones like cortisol. You raise an important topic, there are so many products sold that report to have benefits, many do not have any definite evidence. We will have a video on top 'natural' products and a review of these.
I would be careful with that, it Will normally also make youre body work harder somthing u don't want.
If you already have a active thyroid it can make it work alot harder happend to me not good for youre heart. Would be careful with listing to this youtuber tho
Vit K2(mk7), D3, magnesium and CoQ100. Good luck
@@privatbruker5905listening to this you tuber? Do you mean the one explaining the drugs ?
Look into Arjuna, Berberine Aged Garlic extract, Tocotrienols ubiiqinol and Natokinase
look for cause - and natural help- coq10,hibicus, nitric oxide boosters,taurine to name few
Im on all the meds for 18 months stable , then hit a blip , dehrated, sipping water all through night , weeing , sweating, getting no sleep , any one else same symptons ?? Please reply , lolx to all.
Get checked out for Diabetes. Sounds like what caused me to check. Yep I am Diabetic. T2IR. Best
Suggest you name common drugs used by trade name to promote understanding among lay people.
is abroad and was diagnosed with heart failure
am 50 years old and the odds of living do not seem the best
exercise and eating good food is probably the best way to get as long as possible
Thanks for your comment. I tell my patients that irrespective of how weak the heart is, we must always work together to do all we can to boost heart function; there are so many good treatments now available that will ensure symptoms are managed with excellent quality of life. Keep positive and work in partnership with your treating team.
Heart failure is NOT A DEATH SENTENCE. people can live till there 70s 80s with it. I have it. I take metoprolol half in morning and half at night. I take Olmestatin for blood pressure at night, AND I've had 2 Aortic Valve Replacements. One in 2000 when I was 34yrs and a redo in 2016. Don't panic. Get your doctor to give tou a diuretic for when you get fluid build up, (if you do). Enjoy your life. You have a full life ahead. Just don't SMOKE CIGARETTES NOW.😊
Not a word about Nitric oxide
There are many oher options that may have benefit including nitric oxide but trying to appropriately deliver nitric oxide to where it is needed is a challenge.
@@HeartMatters yes but they don't have a Nobel Prize and have over 350,000 peer review papers written about them next you will be dismissing Moringa the tree of life...Top 7, false advertisement
@@HeartMatters isn't this exactly what drugs like Viagra and Cialis do successfully.?
What about moringa please ?
@patriciamuscat1049 I take moringa everyday
7nderstood
"Medicines"? How about nutrients? Handle the source of the problem, not the symptom!
Entresto and farxiga he was on both and it stopped working in addition to pace maker.
Really why??? Please share.. this scares me as I am on all 3 meds including pacemaker unfortunately