Digoxin: This medication increases heart muscle contractions.Hydralazine/isosorbide dinitrate: This helps relax blood vessels and reduce blood pressure.Diuretics: These medications increase urine output and remove fluid.SGLT2 inhibitors: These help reduce the risk of death or hospitalization in people with heart failure.Sacubitril/valsartan: This medication blocks the effects of the renin-angiotensin system that controls blood pressure and blood water levels.Mineralocorticoid receptor antagonists: This reduces the harmful effects of aldosterone, a hormone that influences blood pressure by controlling the levels of salt and water in the blood.Beta-blockers: This medication reduces heart rate and “cardiac work.”.Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: These reduce levels or actions of angiotensin, which is a hormone that raises blood pressure.Medications for people with advanced heart failure may help them manage their symptoms. Unlike palliative care, which a person can receive according to their needs, hospice care can only help people with around 6 months or less to live. People can only receive hospice care if they agree to no longer take life-prolonging treatments. Hospice care does not aim to extend a person’s life, only manage their symptoms. It may involve treatments to extend life. This may involve treatments to reduce symptoms and address the psychosocial, mental, emotional, or spiritual needs of patients, their caregivers, and their loved ones. Palliative care aims to improve the quality of life for someone experiencing a life threatening condition. They may also consider palliative or hospice care. At this stage, people will need to make difficult decisions regarding how much treatment they would like without sacrificing their quality of life. There is no cure for end stage heart failure.
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