Heart Failure

Heart Failure (HF) Medications

Many medications help with heart failure. Below you will find some classes of these medications, along with the medications most often used. You may notice you are on one or more of the medications depending on the type of HF you have. Other factors that may affect your type of medications are kidney function, tolerance, allergy or side effects, and blood pressure. If you have questions about your medications, ask to set up an appointment in person or by video/phone with our CentraCare Heart & Vascular Center pharmacist.

Beta blockers

  • Metoprolol  (Toprol-XL)
  • Carvedilol (Coreg)
  • Bisoprolol (Zebeta)

Angiotensin-converting enzyme (ACE) inhibitors / angiotensin II receptor blockers (ARBs) / angiotensin II receptor blocker neprilysin inhibitor (ARNI)

Ace

  • Lisinopril (Prinivil, Zestril)
  • Benazepril (Lotensin)
  • Captopril (Capoten)
  • Enalapril (Vasotec)
  • Ramipril (Altace)

ARB

  • Losartan (Cozaar)
  • Valsartan (Diovan)
  • Candesartan (Atacand)
  • Irbesartan (Avapro)

ARNI

  • Sacubitril/Valsartan (Entresto)

Mineralocorticoid receptor antagonists (MRAs)

  • Spironolactone or CaroSpir (Aldactone)
  • Eplerenone (Inspra)
  • Kerendia (finerenone)

Sodium-glucose cotransporter-2 inhibitors (SGLT-2i)

  • Empagliflozin (Jardiance)
  • Dapagliflozin (Farxiga)

Diuretics (water pill/pee pill)

  • Lasix (furosemide)
  • Demadex (torsemide)
  • Bumex (bumetanide)
  • Metolazone
  • Thalitone (chlorthalidone)

Official Definitions of HF
According to the American College of Cardiology, HF, sometimes known as congestive heart failure, occurs when your heart muscle doesn't pump blood as well as it should. Certain conditions, such as narrowed arteries in your heart (coronary artery disease) or high blood pressure, gradually leave your heart too weak or stiff to fill and pump efficiently.

The American Heart Association describes HF as “a term used to describe a heart that cannot keep up with its workload. The body may not get the oxygen it needs.”

HF Trajectory
The trajectory comparison of HF to cancer is very different. With cancer, the pathway is more of a steady decline in health while HF has the potential of many ups and downs. It is not typically a steady decline, but more of a pulsating wave throughout the progression and disease state.


Assistance Available in Minnesota

My Heart Group (Formally Known as the HF Support Group)
You, your friends and your family are invited!
The My Heart Support Group provides information to people, as well as their loved ones, who have heart conditions, specifically HF. At the support group, you will find resources to take home, such as low sodium food charts, recipes and other educational materials. The event also includes low-sodium snacks, drinks and drawings for door prizes. A speaker presents for most meetings with a focus on anything related to the diagnosis of HF. The speaker that presents in St. Cloud is broadcasted to the My Heart Group at Melrose via the web. A facilitator at CentraCare – Melrose would then facilitate table-top discussions on the subjects presented, serve low-sodium snacks and have a door prize drawing. The meeting usually lasts around 1 hour to 1½ hours.
 
  • 3 p.m. Tuesday, Aug. 20
    Bingo is back! Come play H-E-A-R-T bingo and learn all sorts of information related to your heart. This Bingo is special because the word BINGO is changed to HEART and with each number we give a small synopsis of information for a term related to your heart. Everyone who has come in the past has stated they loved it! We hope you can come, have a good afternoon playing bingo and learn something new about your condition.
     
  • 3 p.m. Tuesday, Sept. 17
    In September, we are honored to have Cardiology Heart Failure Director Jamie Pelzel, MD, speak. He will talk about different facets related to HF including types, treatments and medications. You won’t want to miss this event! Please join us if you can!
     
  • RSVP for My Heart Groups
    RSVP is requested so there are enough supplies and snacks. Consider your RSVP confirmation of attendance. Please either email HFSupportGroup@centracare.com or call and leave a message at 320-470-0760 including which location and how many people will be attending.
    • St. Cloud My Heart Group: Todd Steinke Auditorium, CentraCare South Point, 3001 Clearwater Road, St. Cloud
    • Melrose My Heart Group: Little Birch Room, CentraCare – Melrose, 525 West Main Street, Melrose