Anemia heart disease cautiously uses drugs

The general view,
Moderate anemia (hemoglobin less than 70 g / L) will cause cardiovascular disease. Long-term chronic anemia due to the high output can be of cardiac blood circulation and increase the load, expand and cause cardiac hypertrophy, and the hypoxia-induced myocardial damage itself, and other factors, leading to anemia and heart disease with congestive heart failure.

Anemia heart disease is a primary cause of treatment measures, depending on condition given iron or folic acid, vitamin B12. Severe anemia heart disease the most effective treatment is repeated blood transfusions or importation of a small amount of concentrated red blood cell suspension to improve the hemoglobin concentration, and promote improved heart function.

When anemia in heart failure, heart disease, emergency treatment is the first choice diuretics and vasodilators. Applications such as furosemide 20 ~ 40 mg intravenous, depending on condition 4 to 6 hours after injection 1st, effective and symptoms of oral diuretics be improved. At the same time, application of captopril 12.5 ~ 25 mg orally, three times per day.

Digitalis category tonic is the treatment of congestive heart failure drug of choice, but anemia of congestive heart failure caused by heart disease is a high-output heart failure, it can not be their first choice as a drug. Only when diuretics, vasodilators and appropriate a small amount of blood transfusion repeatedly fails to use. Anemia heart disease patients Application category tonic digitalis must be careful, because the long-term hypoxia on myocardial digitalis drugs sensitive, vulnerable to drug poisoning. Therefore, suitably small dose, and the choice for the role of moderate intensity digoxin, a daily 0.125 mg orally once, not to arbitrarily increase the dose. Under normal conditions, when heart failure symptoms improve after the withdrawal should be gradual, not long-term use to prevent the occurrence of digitalis poisoning.