What mnemonic can aid in remembering drug therapy for heart failure?

• A. D - Diuretics
• B. I - Inhibitors (ACE)
• C. B - Beta-blockers
• D. A - Aldosterone antagonists

Answer: (D)

The correct mnemonic for remembering drug therapy for heart failure is "D - I - C - A," where each letter stands for a key category of medications used in the management of heart failure. Specifically, the components include:

• D for Diuretics: These help reduce fluid overload, improving symptoms such as shortness of breath and edema.

• I for Inhibitors: This typically refers to ACE inhibitors (Angiotensin-Converting Enzyme inhibitors) which are pivotal in reducing mortality in heart failure by improving hemodynamics and preventing remodeling of the heart.

• C for Beta-blockers: Another important category that helps in improving mortality and morbidity by reducing the heart's workload and preventing arrhythmias.

• A for Aldosterone antagonists: These further help manage fluid retention and have been shown to improve survival in patients with heart failure.

The use of this mnemonic provides a clear structure for recalling the essential medications that play a role in heart failure management, helping to ensure comprehensive treatment. Each category of medication serves its role in addressing the various aspects of heart failure, from symptom relief to improving long-term outcomes.