Chronic Management of Heart Failure and Angina

Chronic management of heart failure and angina focuses on optimizing long-term outcomes through lifestyle modifications, medication adherence, and regular monitoring. For heart failure, a comprehensive approach includes dietary restrictions, regular physical activity, and the use of evidence-based pharmacological therapies such as beta-blockers, ACE inhibitors, and mineralocorticoid receptor antagonists. Regular follow-up with healthcare providers is essential to adjust treatment as needed and to monitor for disease progression.

In chronic angina, lifestyle changes such as smoking cessation, weight management, and control of hypertension and diabetes are crucial. Pharmacological management typically involves the use of anti-anginal medications, statins, and antiplatelet agents. For patients with refractory symptoms, options such as EECP or revascularization may be considered. The goal of chronic management is to maintain a good quality of life, prevent hospitalizations, and reduce the risk of adverse cardiovascular events.

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