Latest Heart Failure Medication Recommendations
I am 34 yrs old and have heart failure (EF 35-40%) and ventricular arrhythmias (post ablation and left sympathetic denervation surgery). I have a CRT-D (my 5th defibrillator/pacemaker) and complete heart block, with a history of clots (PE). I was taking carvedilol, lisinopril and warafin for several years.
Last year, I went to Mayo Clinic Rochester for a second opinion and have since locally transfered my EP and Heart Failure cardiologist team to the local academic hospital. Both Mayo and my local academic hospital have recommended medication changes to align me with the latest medical research results. I wanted others to know about these, in case they dont have such opportunities to be seen at an academic medical facility that follows guidelines and research closely.
1) Blood Thinner: Switched from warafin to eliquis, and no longer have to test my pt/inr at home by pricking my finger every couple weeks, and a salad or drink of alcholol no longer effects my blood thinner!
2) Heart Failure: Stayed on carvedilol, stopped lisinopril, added entrusto and spironolactone. Those transitions all went well. And now an even more recent research study recommends farxiga, which i will begin next month. These four classes of drugs for heart failure patients have proven to reduce hospitalization and death.
3) Arrhythmias: Due to 2 recent defib shocks from Vtach in July which then threw me into afib for a few days, I have also added sotalol, potassium and magnesium supplements. No shocks since.
*Note that eliquis, entrusto, and farxiga are new drugs, and are very expensive because they dont have generic alternatives yet. Although due to all my medical expenses each year, I typically hit my out of pocket expenses, which will make the individual prescription cost not really matter in the picture of the full year.
It is honestly a lot of prescriptions to manage, but after seeking two second opinions from reputable hospitals, I feel like I am on the best course of treatment now.
Best of Luck to you all!