Congestive heart failure - Treatment at Heart Failure Treatment of heart failure according to the type of ventricular dysfunction Choice of Therapeutic Agents Fluid and sodium restrictions are the basis for any treatment of congestive failure.
ACE inhibitors are the first choice in treating systolic ventricular dysfunction.
ACE inhibitors are also the first choice in treating symptomatic heart failure, in association with diuretics at the lowest possible dosage, in order to reduce symptoms associated with fluid retention. If need be, or in the case of intolerance to ACE inhibitors, digoxin or hydralazine with nitrates can be used or consider AT 1 receptor inhibitors. Antiarrhythmia agents can be used as needed.