Key result
Optimizing standard medical therapy and utilizing multiprofessional heart failure care can improve outcomes for patients with advanced chronic heart failure.
This review highlights the challenges and strategies in managing advanced chronic heart failure, emphasizing the optimization of medical therapy, multiprofessional care, and palliative care.
May support multiprofessional optimization in advanced HF; leaves open confirmation by prospective trials.
Despite advances in both drug and device treatment of chronic heart failure (CHF) over the last 20 years, many patients still progress to a stage of advanced CHF, characterized by increasing symptoms and declining functional status. Future drug management of such patients presents many challenges. This review focuses on the issue of optimizing standard medical therapy in advanced CHF, the treatment of diuretic resistance and hyponatremia. As well as prescribing drugs in this phase of the disease, the system of care used to deliver therapy is crucial. On its own, multiprofessional heart failure care can improve outcomes for these patients. Finally, this review also addresses the drugs and model of care used to deliver palliative care in the end stage of advanced CHF.
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Theresa A. McDonagh (2008) conducted a review in Advanced chronic heart failure. Optimized medical therapy and multiprofessional care was evaluated. Optimizing standard medical therapy and utilizing multiprofessional heart failure care can improve outcomes for patients with advanced chronic heart failure.
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