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Degenerative Mitral Valve Disease (view source)
Revision as of 19:35, 15 November 2010
, 19:35, 15 November 2010no edit summary
==Treatment==
==Treatment==
No treatment is recommended prior to the onset of heart failure. Treatment is aimed at managing congestive heart failure through a combination of drugs.
The aims of treatment are to:
#Reduce Preload
*Diuretics to reduce circulating fluid volume (Frusemide, Benzofluazide, Spironolactone, Amiloride)
*Vasodilators to reduce venous return (Nitrates, ACE inhibitors, Alpha antagonists)
#Reduce Afterload
*Vasodilators to decrease systemic vascular resistance
**ACE inhibitors e.g. Enalapril, Benzapril, Imidopril ,
**Pimobendan
**Calcium channel blockers e.g. Amlodipine
**Nitrates e.g. Nitropusside
#Enhance Systolic function
*Positive Inotropes to increase cardiac contractility and increase cardiac output.
**Pimobendan
** Digoxin
**Dobutamine
**Xanthines
#Improve Diastolic function
*Negative Chronotropes to increase the length of diastole (digoxin, atenolol)
*Calcium channel blockers to improve relaxation (amlodipine)
# Control cardiac arrhythmias using anti-arhythmic drugs
==Prognosis==
==Prognosis==
==Literature Search==
==Literature Search==