Pharmaceutical Treatment for Heart Failure

Adv Exp Med Biol. 2020:1177:269-295. doi: 10.1007/978-981-15-2517-9_7.

Abstract

Heart failure (HF) is defined as a clinical syndrome resulting from structural or functional impairment of ventricular fillings or ejections of blood. Currently, HF is divided into three groups which include HF with reduced ejection fraction (HFrEF), HF with preserved ejection fraction (HFpEF) and HF with midrange EF (HFmrEF). Even though major advances have been made in treating HFrEF during the past decades, heart failure is a fatal disease. In this review, we briefly summarize the current advances in pharmaceutical managements for heart failure, which includes drugs used in acute heart failure as well as those that prevent heart failure progression, in each category major clinical trials are also described. In addition, information about some of potential new drugs are also mentioned. Traditional Chinese medicine also shows its potential in treating HF, and we are still lack of medicine to treat HFpEF.

Keywords: HF with preserved ejection fraction; HF with reduced ejection fraction; Heart failure; Pharmaceutical management.

Publication types

  • Review

MeSH terms

  • Disease Progression
  • Heart Failure / complications
  • Heart Failure / drug therapy*
  • Heart Failure / physiopathology
  • Humans
  • Stroke Volume / drug effects
  • Ventricular Dysfunction, Left / complications
  • Ventricular Dysfunction, Left / drug therapy
  • Ventricular Dysfunction, Left / physiopathology