Management and Treatment Strategies of Systolic vs. Diastolic Heart Failure

 

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Heart failure can affect the left as well as the right side of the heart. Cardiac failure affecting the left side of the heart is called systolic heart failure and the right side of the heart is called diastolic heart failure. 

Cardiac failure occurs when the heart does not pump blood efficiently enough to ensure a proper supply of blood to all the organs and tissues of the body. 

In patients with cardiac failure, the reduced ability of the heart to pump may become worse while they are doing physical activities or feeling emotionally stressed.

In patients with systolic heart failure, the heart is not contracting properly during the heartbeats. In diastolic heart failure, the heart fails to relax normally between the heartbeats due to which the lower chambers of the heart called the ventricles fail to expand to accommodate the blood entering it. As a result, the amount of blood the ventricles receive reduces causing a reduced output of blood during each contraction. 

Both systolic and diastolic heart failure eventually lead to the reduced supply of blood to body organs. 

The management of systolic and diastolic heart failure involves different strategies. Even the medications recommended for the management of these conditions are different. Hence, doctors and nurses must be aware of the differences in the pathogenesis of systolic and diastolic heart failures to be able to recommend the most effective treatment for patients. 

There are several medications used for the management of systolic heart failure. Some of these include:

  • Angiotensin receptor blockers 

  • Angiotensin-converting enzyme inhibitors

  • Beta-blockers (BBs)

  • Diuretics

  • Digoxin

  • Inotropes

  • F-channel blockers

  • Mineralocorticoid receptor antagonists 

In some patients, a combination of these medications may be effective.

The commonly used medications for patients with diastolic heart failure include:

  • Medications that relax and widen the blood vessels such as vasodilators, beta-blockers, calcium channel blockers, and long-acting nitrates 

  • Medications called diuretics that reduce the build-up of fluids 

  • Medications to manage other conditions such as high blood pressure

In some patients, the treatment of cardiac failure may involve implantation of devices like ICD (Implantable cardioverter defibrillator) or CRT (Cardiac resynchronization therapy). 

Being aware of all treatment options and their indications is essential for doctors and nurses to be able to help patients recover and avoid complications.

You can join our “2 NURSING CONTACT HOURS WILL BE AWARDED FOR CARDIOVASCULAR NURSING WEBINAR” on 23rd November at 6 pm to learn more about the management of heart failure. 

ATECAM LLC is the approved provider of the NCPD (Nursing Continuing Professional Development) by the State Nurses Association Approver Unit, an accredited approver in Pennsylvania. The contact hours awarded by us are good even for nurses outside of Pennsylvania

The purpose of our nursing webinars 2020 is to educate nurses about the implications of cardiac failure and atrial fibrillation. We will also discuss the diagnostic workup, different integrative approaches, and management strategies for these conditions. 

 Join the webinar to learn the latest developments and keep yourself updated about cardiac failure and atrial fibrillation so that you can provide quality care to your patients.


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