Managing heart failure: Expert insights on treatment and care

Heart failure is one of the most common and serious heart conditions, but with the right information and medical care, people can live full, active lives. In this special 6ABC Local Spotlight interview, Steven Domsky, MD, a heart failure cardiologist at Main Line Health, discusses what heart failure is, how patients can manage it effectively, and the latest treatment options available.

Watch the full interview below for expert insights on recognizing symptoms, making key lifestyle changes, and understanding when to seek medical attention.

Key topics covered in the interview

What is heart failure?

Dr. Domsky explains that heart failure occurs when the heart isn't able to pump blood efficiently enough to meet the body's needs. This can lead to fluid buildup, causing symptoms like shortness of breath, swelling in the legs or abdomen, and fatigue. He also distinguishes heart failure from heart attacks, emphasizing that while a heart attack results from a blocked artery, heart failure is often a longer-term condition that requires ongoing management.

The role of lifestyle in managing heart failure

Managing heart failure isn't just about medications—daily habits matter, too. Dr. Domsky highlights key lifestyle changes that can help patients feel better and reduce hospital visits:

• Daily weight monitoring to track fluid retention.
• Limiting salt and fluid intake to prevent swelling and shortness of breath.
• Knowing the warning signs of worsening heart failure, such as sudden weight gain or increased shortness of breath when lying down.

The importance of a strong healthcare team

Heart failure management requires a team approach. Dr. Domsky emphasizes the role of cardiologists, nurse practitioners, physician assistants, and nurses in educating patients and providing support. He encourages patients to communicate openly with their care teams, especially if they notice changes in symptoms or have concerns about medications.

Medications that help manage heart failure

Several medications can help patients feel better and improve long-term outcomes:

• Diuretics (water pills) help reduce fluid buildup and relieve symptoms quickly.
• Other heart failure medications can improve heart function and significantly lower the risk of hospitalization and complications.

Dr. Domsky notes that these treatments, when taken as prescribed, can dramatically improve a patient's quality of life.

Recognizing the warning signs of worsening heart failure

Dr. Domsky highlights the key signs that require medical attention:

• Increased shortness of breath, especially when lying flat.
• New or worsening swelling in the legs, feet, or abdomen.
• Sudden, unexplained weight gain over a few days.

Early recognition of these symptoms allows for quick treatment adjustments, preventing more serious complications.

Take charge of your heart health

Heart failure is a serious condition, but with proper management, many people can live active, fulfilling lives. Working closely with a healthcare team, monitoring symptoms, and making lifestyle adjustments are essential steps in managing heart failure effectively.

Next steps

Schedule an appointment with a heart failure cardiologist
Learn more about heart care at Main Line Health
Expanding treatment options for heart failure through clinical trials