Can left ventricular diastolic dysfunction be cured

In most cases, left ventricular diastolic dysfunction cannot be completely cured, but its progression can be controlled through standardized management. The main improvement measures include medication treatment, lifestyle adjustments, basic disease control, regular follow-up monitoring, and cardiac rehabilitation training.

1. Drug therapy:

Commonly used angiotensin-converting enzyme inhibitors such as enalapril improve myocardial remodeling, beta blockers such as metoprolol reduce myocardial oxygen consumption, and aldosterone receptor antagonists such as spironolactone alleviate fibrosis in clinical practice. Medications should be taken regularly under the guidance of a cardiovascular specialist for a long time, and the dosage cannot be adjusted by oneself.

2. Lifestyle adjustments:

Limit daily sodium intake to less than 5 grams, quit smoking and avoid exposure to secondhand smoke, and limit alcohol intake to no more than 25 grams per day. Maintain 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking and swimming, to avoid heart failure induced by vigorous exercise.

3. Basic disease control:

The blood pressure of patients with hypertension should be maintained below 130/80mmHg, and the glycosylated hemoglobin of diabetes patients should be controlled within 7%. Patients with sleep apnea syndrome require continuous use of ventilators for treatment, while those with thyroid dysfunction need medication to adjust to normal levels.

4. Regular follow-up monitoring:

Re evaluate diastolic function grading by echocardiography every 3-6 months and regularly test for BNP/NT proBNP markers. When experiencing symptoms of heart failure such as paroxysmal nocturnal dyspnea and worsening lower limb edema, timely medical attention should be sought to adjust the treatment plan.

5. Cardiac rehabilitation training:

Develop personalized exercise prescriptions after conducting cardiopulmonary exercise tests and evaluations in professional institutions, including power cycling training, resistance exercises, etc. Rehabilitation training can improve cardiovascular endurance, improve quality of life scores, and reduce readmission rates.

It is necessary to maintain a body mass index between 18.5-23.9 in daily life, ensure 7-8 hours of sleep, and take a nap of no more than 30 minutes. The diet adopts a Mediterranean style, with a focus on consuming foods rich in omega-3 fatty acids such as deep-sea fish, olive oil, and nuts. The daily intake of vegetables should not be less than 500 grams. To avoid emotional excitement and mental tension, stress can be relieved through mindfulness meditation. Pay attention to keeping warm and cold in winter, and get vaccinated before the flu season. It is recommended to use home electronic blood pressure monitors and weight scales to monitor basic data every morning and establish a health record for reference during follow-up visits. Patients with multiple chronic diseases can participate in the hospital's chronic disease management program and receive professional guidance from nutritionists and rehabilitation therapists.