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Advanced Heart Failure Treatment Options

Through the efforts of the American College of Cardiology Foundation and American Heart Association, there are clearly defined guidelines for the treatment of heart failure at each of its four classes:

  • Class A includes patients who are at risk of heart failure but who have no symptoms or structural heart disease.
  • Class B are those patients who have structural heart disease but no signs or symptoms.
  • Class C describes those patients who have symptoms – or a history of symptoms (e.g., limitations in physical activity).
  • Class D includes those patients who require special interventions (e.g., pacemaker) to reduce their risk of developing additional problems or death.


In all stages of heart failure, lifestyle changes play a significant role in alleviating symptoms and reducing further damage to the heart. Some of these changes include:

  • Exercising (as recommended by your doctor)
  • Reducing salt intake
  • Limiting alcohol
  • Quitting smoking
  • Losing weight


Depending upon the stage and symptoms of your heart failure, your doctor may prescribe medications to help with the following:

  • Reduce strain on heart and relax vessels (e.g., ACE inhibitors or ARBs)
  • Reduce fluids and salt (e.g., diuretics)
  • Boost heart strength and maintain heart rhythm (e.g., digitalis, ACE inhibitors)
  • Control coronary artery disease, high blood pressure or arrhythmias (e.g., beta blockers, ACE inhibitors, calcium channel blockers or antiarrhythmics)

Procedures, Devices and Surgery

If medications are not effectively managing your heart failure, your doctor may suggest surgery. This aggressive approach can treat underlying problems or specific complications of heart failure.

Examples of heart failure surgeries include:

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Find a doctor near you, request an appointment, or call 800-TEMPLE-MED (800-836-7536) today.