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The patient may need to stay in the hospital until acute symptoms start to go away. Treatment is focused on relief of symptoms. Digitalis, vasodilators (drugs that dilate blood vessels), ACE-inhibitors, diuretics (water pills), nutritional supplements, and other medications may be prescribed to reduce symptoms.
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The underlying cause should be treated. Some patients may require a biventricular pacemaker. An implantable defibrillator may also be needed to correct any severe arrhythmias (abnormal heart rhythms). A biventrical pacemaker with defibrillation capabilities is available.
A low-salt diet may be prescribed, and fluid may be restricted in some cases. The patient can usually continue their regular activities, if tolerated.
Daily monitoring of body weight may be advised. Weight gain of 3 or 4 pounds or more over 1 or 2 days may indicate fluid accumulation.
Smoking and drinking alcohol may worsen the symptoms.
If the heart function remains poor, a heart transplant may be considered.
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