The first line treatment for heart failure, specifically to address fluid overload, involves the use of loop diuretics.
According to the provided reference, the following approach is recommended:
- Loop Diuretics: Initiate treatment with a loop diuretic, such as oral furosemide, typically at a dose of 20 to 40 mg once daily.
- Thiazide Diuretics: If loop diuretics alone are not sufficient to manage fluid overload, thiazide diuretics may be added to the treatment regimen.
- Dietary Modifications: Diuretic therapy should be coupled with a low-salt diet to enhance its effectiveness.
- Combination Therapy: First-line diuretic treatment is combined with a β-blocker and an ACE inhibitor for more comprehensive heart failure management.
In summary, while multiple therapies are needed to manage heart failure effectively, loop diuretics are the first line of treatment for fluid overload, the main symptom that prompts the initiation of pharmacotherapy.
