Check the data below to see if your therapy matches what the AHA and ACC recommend. Note that you cannot go backward in stage, only forward.
The data below outlines a basic plan of care that may or may not apply to you, based on the cause of your heart failure and your special needs. Ask your doctor to explain therapies that are listed if you do not understand why you are or are not receiving them.
Stage A
People at high risk of developing heart failure (pre-heart failure), including people with:
- Hypertension
- Diabetes
- Coronary artery disease
- Metabolic syndrome
- History of cardiotoxic drug therapy
- History of alcohol abuse
- History of rheumatic fever
- Family history of cardiomyopathy
Usual Treatments
Exercise regularly.
- Quit smoking
- Treat hypertension
- Treat lipid disorders
- Discontinue alcohol or illegal drug use
- An angiotensin converting enzyme inhibitor (ACE inhibitor) or an angiotensin II receptor blocker (ARB) is prescribed if you've had a coronary artery disease or if you have diabetes, high blood pressure, or other vascular or cardiac conditions
- Beta blockers may be prescribed if you have high blood pressure or if you've had a previous heart attack
Stage B
People diagnosed with systolic left ventricular dysfunction but who have never had symptoms of heart failure (pre-heart failure), including people with:
- Prior heart attack
- Valve disease
- Cardiomyopathy
- The diagnosis is usually made when an ejection fraction of less than 40% is found during an echocardiogram test.
Usual Treatments
- Treatment methods above for Stage A apply
- All patients should take an angiotensin converting enzyme inhibitor (ACE inhibitors) or angiotensin II receptor blocker (ARB)
- Beta-blockers and an aldosterone inhibitor should be prescribed for patients after a heart attack
- Surgery options for coronary artery repair and valve repair or replacement (as appropriate) should be discussed
If appropriate, surgery options should be discussed for patients who have had a heart attack.
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