Heart failure is a condition in which the heart is unable to pump blood effectively to meet the body’s needs. As a result, patients may experience symptoms such as easy fatigue, shortness of breath—especially during physical activity or while lying down—swelling of the legs and ankles, and weight gain due to fluid retention. If not properly managed, heart failure can worsen and increase the risk of serious complications, including heart rhythm disorders, reduced quality of life, and life-threatening conditions.
To help the public better understand this condition, a cardiologist and vascular specialist at Mandaya Royal Hospital Puri, dr. Abhirama Nofandra Putra, Sp.JP (K), provides a comprehensive explanation of heart failure treatment and management.
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Understanding Heart Failure Treatment and Management with dr. Abhirama
According to dr. Abhirama, the main goals of heart failure treatment are to control symptoms and improve the patient’s quality of life. In heart failure, the body often retains excess fluid, leading to swelling and shortness of breath. With appropriate management, this excess fluid can be reduced so patients can carry out daily activities more comfortably.
In addition, heart failure treatment aims to reduce the risk of repeated hospitalizations and lower mortality rates. Each episode of relapse requiring hospitalization may gradually reduce heart function, making long-term management essential.
Heart Failure Treatment Tailored to the Underlying Cause and Patient Condition
Based on dr. Abhirama’s explanation, heart failure management cannot be standardized for all patients. The choice of medication and therapy depends on heart pumping function and the underlying cause. In heart failure caused by coronary artery disease, patients may require blood thinners, cholesterol-lowering medications, or procedures to treat narrowed blood vessels. Meanwhile, in cases of heart muscle damage, a different treatment approach is needed.
Each patient undergoes a thorough evaluation to ensure that the therapy provided matches their medical condition and individual needs.
Advanced Therapy Options for Heart Failure
If symptoms are not adequately controlled with medications alone, advanced treatment options involving medical devices may be considered. One such option is cardiac resynchronization therapy, which uses a special pacemaker to synchronize the contractions of the right and left sides of the heart, improving pumping efficiency.
In certain cases, more advanced circulatory support devices may also be used to assist blood flow. The selection of these therapies is individualized and requires ongoing monitoring.
The Importance of Treatment Adherence and a Healthy Lifestyle
Heart failure management requires long-term monitoring with gradual adjustment of medication dosages. One of the main causes of heart failure deterioration is poor medication adherence. Therefore, patients are advised to take their medications regularly and not discontinue treatment without consulting a doctor.
In addition to medical therapy, patients are encouraged to adopt a healthy lifestyle, including limiting salt intake, managing fluid consumption according to medical advice, engaging in physical activity within their capacity, and effectively managing stress. This comprehensive approach aims to keep heart function stable and maintain an optimal quality of life.
Profile and Expertise of dr. Abhirama at Mandaya Royal Hospital Puri
dr. Abhirama is a cardiologist and vascular specialist who also serves as an interventional cardiology consultant, with extensive experience in managing a wide range of cardiovascular conditions. His expertise includes comprehensive heart disease management through both medical therapy and interventional procedures.
dr. Abhirama completed his medical degree at the Faculty of Medicine, Universitas Indonesia, in 2011. He then pursued his cardiology and vascular specialization at the National Cardiovascular Center Harapan Kita, Faculty of Medicine, Universitas Indonesia, and graduated in 2019.
To further strengthen his expertise in interventional cardiology, dr. Abhirama undertook interventional cardiology training at Renji Hospital, affiliated with Shanghai Jiao Tong University School of Medicine, in 2025.
As an interventional cardiology consultant, dr. Abhirama is skilled in coronary stent placement, management of both acute and chronic coronary artery disease, and balloon angioplasty procedures. Supported by a strong educational background and extensive clinical experience, he is one of the recommended interventional cardiologists for patients with cardiovascular complaints.
dr. Abhirama’s Practice Schedule at Mandaya Royal Hospital Puri
dr. Abhirama Nofandra Putra, Sp.JP (K) is available at Mandaya Royal Hospital Puri on the following schedule:
- Monday: 09.00 – 15.30 WIB
- Tuesday: 09.00 – 15.30 WIB
- Wednesday: 09.00 – 12.00 WIB
- Thursday: 09.00 – 15.30 WIB
- Friday: 09.00 – 15.30 WIB
- Saturday: 13.00 – 15.00 WIB
To make your visit more convenient, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter application—available for download on Google Play and the App Store—to schedule visits, check queue numbers, and access other complete information.
