Whole heart enlargement of lower limb edema is mostly considered to be caused by cardiac insufficiency, treatment should be improved by furosemide and other drugs to improve cardiac function, at the same time for the primary disease causative treatment, such as dilated cardiomyopathy, follow the doctor’s instructions to standardize the use of sakubutra valdecoxib, spironolactone and other drugs treatment.
1. Improvement of cardiac function: the use of diuretics such as furosemide to reduce the cardiac load, sodium nitroprusside and other drugs to dilate blood vessels, deacetyl furfuracein and other digitalis drugs positive inotropy, sakubutra valsartan, spironolactone and other drugs to reverse myocardial remodeling under the guidance of a doctor. Use of drugs to pay attention to hypokalemia, nausea, vomiting and other side effects.
2. Treatment of the cause:
(1) Dilated cardiomyopathy: standardize the use of spironolactone, metoprolol, sacubitril valsartan and other medications after the acute stage, as well as cardiac resynchronization therapy, cardiac assist devices and other control of the disease progression, with medication to pay attention to the presence of hyperkalemia, heart rate slowness and other side effects; at the same time, it is necessary to improve the poor dietary and lifestyle habits strictly; in severe cases, cardiac transplantation can be considered.
(2) Coronary heart disease: Regular use of aspirin, atorvastatin, isosorbide mononitrate, metoprolol and other drugs to prevent myocardial infarction and improve myocardial ischemia, with attention paid to side effects such as hemorrhage, myalgia and headache. Coronary artery stenosis is serious, can consider coronary intervention or coronary artery bypass grafting to improve blood supply.
(3) Heart valve disease: If the condition is serious, heart valve repair or replacement may be considered.
In addition, congenital heart disease, hypertension and other diseases can also lead to whole heart enlargement and lower limb edema. It is recommended to actively treat the primary disease to avoid disease progression and serious complications, and medications need to be used under the guidance of a physician.