Healing

As a rule, those affected will have chronic heart muscle weakness for the rest of their lives. However, if an exact cause for the disease can be found and contained in time by means of suitable diagnostic procedures, rehabilitation of the heart muscle may be necessary in some cases. Although the chances of a complete cure are rather small, the heart muscle weakness can be well adjusted due to the medical and therapeutic developments in recent years, so that the affected persons can regain a high degree of quality of life and also their life expectancy can be significantly increased.

However, the most important factor for such a course is the patient’s compliance (adherence to therapy). The patient should behave in accordance with the disease, which in most cases is accompanied by a change in everyday life. Drug therapy is just as much a part of this as regular exercise, healthy eating habits and the avoidance of potential sources of danger.

Life expectancy

The life expectancy of a cardiac insufficiency is primarily dependent on the type of disease, its stage and possible concomitant diseases. The patient’s age and personal lifestyle as well as active participation in the therapy also play a decisive role. According to a study by the Robert Koch Institute, approximately 50% of patients with heart muscle weakness die within the first four years after diagnosis. With a well established therapy plan and the right attitude with medications that combat the cause that led to the heart muscle weakness, the prognosis for life expectancy can be significantly improved, so that many patients can still reach a relatively high age despite the disease.

Drugs

For the treatment of myocardial insufficiency, there are various drugs that can be used for treatment. Beta-blockers Beta-blockers slow and strengthen the heartbeat so that it is protected by therapy. It is important that the drugs are gradually increased and not abruptly stopped.

ACE inhibitors These inhibit a certain enzyme (acetylcholinesterase) which leads to the formation of angiotensin II. Taking this medication prevents a narrowing of the blood vessels so that the heart does not have to pump against too much resistance. Sartane Sartane or angiotensin antagonists are primarily used for the treatment of hypertension.

They are also an alternative to ACE inhibitors if they are not well tolerated. Diuratics These are dehydrating agents that are mainly used in patients who are prone to water retention due to heart failure. By excreting excess water, the heart is relieved. Cardiac glycosides Cardiac glycosides strengthen and slow down the heartbeat and thus relieve the pressure from the blood vessels so that there is no blood congestion.