When any chamber of the heart is damaged, or not operating at full capacity, a decreased volume of blood is forced from the heart during each contraction. Blood returns to the heart after it circulates in the body and, simply stated, it all backs up. The result is an accumulation of fluid, or congestion in the lungs and body tissues, causing edema or swelling. Congestive heart failure decreases physical endurance, makes breathing more difficult and interferes with quality of life.
Medications such as ACE inhibitors, calcium channel blockers, beta blockers, digitalis, diuretics, fish oil and co enzyme Q10 are effective treatments for congestive heart failure. It is also important to follow a low salt diet. Exercise is shown to increase life-span for anyone suffering from congestive heart failure.
Treatment of heart valve disorders may require surgery. If coronary artery disease is present, coronary artery bypass surgery may be needed. Other surgical intervention includes a procedure known as a myectomy (removal of overgrown heart muscles) to treat congestive heart failure.
Implanted devices, known as ventricular assist devices (VAD), can help the heart pump more efficiently. Your doctor will tell you if you are a candidate. Cardiac pacemakers can stabilize abnormal heart rhythms that cause congestive heart failure. Implanted cardiac defibrillators do not treat congestive heart failure, but can be used to prevent sudden death from heart rhythm disturbance.
By Kathleen Blanchard RN
