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 In vestnik for NR  12, 2025 we are discussed not medicament preventing methods and cure for chronic heart failure, but sometimes  these methods are not enough ,that to fight it. And 45 perc of patients dead from suddenly heart attack, thus correspondent by vestnik  Oxana  talked with cardiologist Yudin, about a which remedies prescribing in CHHF, how theirs to use?And,  which side effects are you can to wait?

1. Let s remember ,about a what we are shared in vestnik for 2025 as common rules for medicament using  for CHHF?

Any heart disease can lead to chronic heart failure, and a hypertension, which is not harmless, is a calling silence killer. So as she is displaying without symptoms, and without cure leading to hard heart failure, ischaemic heart disease, and other cardiovascular pathologies.

And unfortunately if for you put diagnosis as CHHF, thus he's keeping for all time with you. But thanks for medicine growing and new remedies you can to minimize symptoms and to live a long happy life, full, and understand that remedies prescribing  for all life, self cancelling, changing are worsening disease display, and you are entering in hospitalization.

 A lot of us worrying about side effects, but remedies endured for clinical tests, that benefit are raised, that a few side effects, and they are safe. Remember without a cure, heart failure will progress,  AND lead to dead and hard complications.

2. We will hope,that our readers are understood it, but if am skipped a remedy used?

All these based remedies having cumulative effect, and working in a few weeks, not worry. If you are skipped dose used, use a right dose on the next time, not use 2 dosages for 1 time. That to caught up, its a risk for serious side effects, a faster lowering pressure. An add dates for remedies using in diary or calendar, as attach this use ,like to regular procedures by teeth cleaning, washing, watching  TV, or turn in right by clock to not skip s remedy use.

3. A base remedies for cure, and side effects.

 A first are inhibitors ACE  ARE enalapril, prestarium, fozicard, diroton are decreasing manufacturing angiotensin 2 hormones, which in patients a having negative effect on heart and blood circulation. Remedies are improving feeling and increasing life prolong, thus  are base in a cure for CHHF  , and to side effects these are having:

Arterial pressure lowering as on begin time, as they are using in hypertension and lowering pressure, thus in heart failure pressure is not high. Thus, begin with minimal dose, on 1/2 pill, 1/4.n a few weeks organism adapting, dose of remedy increasing, trying leading a goal.

 And remedies rising calium level and creatinine in blood, with hard kidneys' failure they are prescribing very care, in an often control for creatinine, and electrolytes in b, blood , or not prescribing.

 A sometimes causing dry cough, which not tied with bronchus, lungs diseases, if cough worries you say to dicrorm he will change remedy on other. 

As on an any remedy allergy having ,as with tongue edema, lips, face , thus stop right away to use and visit doctor.

4.But,  what is to do, when  ACE  are not matching for me.

 Analogists are prescribing you are sartanes as antagonists receptors angiotensin 2 are lozartan, irbis, valsartan, they  are same,like effects in IACE , AND prescribing, if you are bad enduring theirs.

A new remedy for chronic heart failure displayed is juperio, as effects a sartan ,to which added special not hormnal modulator .Juperio preventing vessels from narrowing  and liquid delaying and good effect on cardiovascular system, kidneys, and its confirmed on the prolonged life in such patients with CHHF , suddenly risk of dead decreases, that a high effect ,than in sartans, ACE  , THAT IN 4 WEEKS, PATIENTS EASIER ENDURING PHYSICAL LOADING, AND SIDES EFFECTS, LIKE  IN BEFORE , BUT LOWERING PRESSURE IS VISIBLE, THAT NOT FOR EVERY PATIENT HE MATCHES. Not use with ACE  AND SARTANS.