Is heart failure treatable?

Written in association with: Dr Sohail Q Khan
Published: | Updated: 04/12/2024
Edited by: Karolyn Judge

 

Heart failure is treatable, but it's a chronic condition that often requires ongoing management.

Man with chest pain, which is a sign of heart failure.

 

What is heart failure?

 

Heart failure is where the heart isn’t able to pump blood effectively in order to meet the body's needs. It can develop gradually or suddenly and may affect one or both sides of the heart. Heart failure can be caused by a variety of conditions, including coronary artery disease, high blood pressure, diabetes and heart valve problems. Symptoms include shortness of breath, fatigue, swelling in the legs and ankles, and persistent coughing or wheezing.

 

 

Is heart failure treatable?

 

Yes. The goal of ongoing treatment is to improve the quality of life, slow the progression of the disease and reduce symptoms. While it may not always be possible to fully reverse the condition, many patients can lead active lives with proper treatment.

 

 

What treatments are available for heart failure?

 

There are several treatment options available for heart failure, which vary depending on the severity of the condition and its underlying cause:

  • Medications: A range of medications is commonly prescribed to manage heart failure, including ACE inhibitors, beta-blockers, diuretics (water pills), and aldosterone antagonists. These drugs help improve heart function, reduce fluid buildup, lower blood pressure, and prevent further damage to the heart.
  • Lifestyle changes: Patients with heart failure are often advised to make lifestyle changes such as eating a healthy, low-sodium diet, exercising regularly, quitting smoking, and managing stress. These changes can significantly improve heart function and overall health.
  • Surgery or procedures: In more severe cases, surgery may be required. Procedures like coronary artery bypass grafting (CABG), valve repair or replacement, or the insertion of a pacemaker or implantable cardioverter-defibrillator (ICD) may be necessary to improve heart function. In advanced cases, a heart transplant might be considered.
  • Devices: For some patients, devices such as a left ventricular assist device (LVAD) can help the heart pump blood more effectively. LVADs are often used as a bridge to heart transplantation or for long-term therapy in patients who are not transplant candidates.

 

 

Can heart failure be cured?

 

Heart failure is typically a chronic condition, meaning it is not curable. However, with proper treatment and lifestyle management, many people with heart failure can live longer, healthier lives. The earlier the condition is diagnosed and managed, the better the outcomes.

 

 

How can heart failure be managed in the long term?

 

Long-term management of heart failure involves regular monitoring and follow-up with a healthcare provider. Patients need to:

  • Adhere to prescribed medications: Taking medications as directed is crucial for managing symptoms and preventing further heart damage.
  • Monitor symptoms: Patients should track their weight, fluid retention, and any worsening symptoms. Sudden changes in symptoms may require medical attention.
  • Make lifestyle adjustments: Reducing salt intake, maintaining a healthy weight, and engaging in physical activity are essential aspects of long-term management.

 

 

When should you seek medical attention?

 

If you have heart failure, it's important to seek medical attention if you experience worsening symptoms, such as increased shortness of breath, rapid weight gain due to fluid retention or chest pain. Complications can be prevented and outcomes can be improved through early intervention.

 

In summary, while heart failure is not usually curable, it is treatable with a combination of medications, lifestyle changes, and sometimes surgical interventions. Managing the condition effectively can improve quality of life and prolong life expectancy.

By Dr Sohail Q Khan
Cardiology

Dr Sohail Q Khan is an awarded consultant cardiologist in Birmingham. He specialises in interventional cardiology, high risk coronary intervention, along with all kinds of general cardiology such as chest pain, hypertension, coronary heart disease and angina. Dr Khan privately practises at The Harborne Hospital - part of HCA Healthcare while his NHS base is University Hospitals Birmingham NHS Foundation Trust. 

He initially qualified in medicine from the University of Edinburgh in 1999 before being awarded a fellowship from the British Heart Foundation for research into cardiac biomarkers. He went on to complete cardiology training in Manchester before being receiving the prestigious Boston Scientific Fellowship for Advanced Coronary Intervention training at the University of Toronto, Canada. Dr Khan then started practising with University Hospitals Birmingham, and subsequently in private clinics and his own, Birmingham Cardiologist.

Dr Khan has published numerous articles in peer-reviewed journals, and has presented to cardiologists internationally in the USA, Europe, and Asia. He also devotes time to undergraduate and postgraduate training where is an Honorary Senior Lecturer at the University of Birmingham. In this same vein, Dr Khan is an invited guest operator for national and international procedures.

Being the principal investigator on six national and international multi-centre clinical trials, Dr Khan is devoted to researching and staying up to date with the most advanced techniques and procedures in cardiology. Dr Khan has expertise in specific procedures such as rotablation, intracoronary imaging to optimise stent implantation, and is one of the few surgeons who can perform laser atherectomy.

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