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June 23, 2026European Cardiology ReviewOpen Access

Physiological changes due to biological ageing and frailty can limit the optimization of heart failure pharmacotherapy, impacting its pharmacodynamics, pharmacokinetics, effectiveness, and safety.

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Why the study?

Understanding of the impact of frailty on heart failure aetiology and treatments is still emerging, and physiological changes from frailty can limit optimization of pharmacotherapy.

Design

Narrative review

Key result

Physiological changes due to biological ageing and frailty can limit the optimization of heart failure pharmacotherapy, impacting its pharmacodynamics, pharmacokinetics, effectiveness, and safety.

Authors

MDMai DuongMGMartha GulatiPGParag Goyal

Discussion

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Overview

Frailty heightens adverse event risks limiting HF pharmacotherapy optimization; leaves open frailty-adjusted regimens for advanced disease.

Key Points

  • The study aims to explore the relationship between frailty and heart failure in pharmacological contexts.
  • Narrative review examining clinical pharmacology aspects of heart failure and frailty.
  • Assessment of pharmacodynamics and pharmacokinetics in relation to frailty.
  • Discussion on the need for integrating frailty assessment in heart failure care models.
  • Increased risk of adverse events complicates heart failure treatment in frail individuals.
  • Physiological changes influence the effectiveness and safety of pharmacotherapy in heart failure.
  • Opportunity identified to enhance heart failure management through frailty assessment.

Structured PICO

P
Population
Individuals with heart failure and frailty
I
Intervention
Heart failure pharmacotherapy

Frailty alters the pharmacokinetics and pharmacodynamics of heart failure medications, highlighting the need to integrate frailty assessment into heart failure management.

Cite This Study

Duong et al. (2026) conducted a review in Heart failure and frailty. Heart failure pharmacotherapy was evaluated. Physiological changes due to biological ageing and frailty can limit the optimization of heart failure pharmacotherapy, impacting its pharmacodynamics, pharmacokinetics, effectiveness, and safety.

synapsesocial.com/papers/6a653f0c87d30a0c41c7f178https://doi.org/10.15420/ecr.2025.42
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Frailty and Heart Failure: An Integrated Review of a Bidirectional Relationship2026
  2. 2Frailty and heart failure: State‐of‐the‐art review2023 · 141 citations
  3. 3Frailty in Heart Failure: Implications for Management2018 · 107 citations
  4. 4Multiprofessional Interventions for Frailty in Patients with Heart Failure: A Comprehensive Review2025 · 8 citations
  5. 5The burden of frailty in heart failure: Prevalence, impacts on clinical outcomes and the role of heart failure medications2024 · 40 citations