{"title":"Integration of palliative care across the spectrum of heart failure care and therapies: considerations, contemporary data, and challenges","authors":"Sarah Chuzi, Katharine Manning","doi":"10.1097/hco.0000000000001120","DOIUrl":null,"url":null,"abstract":"\n \n Heart failure (HF) is characterized by significant symptoms, compromised quality of life, frequent hospital admissions, and high mortality, and is therefore well suited to palliative care (PC) intervention. This review elaborates the current PC needs of patients with HF across the spectrum of disease, including patients who undergo advanced HF surgical therapies, and reviews the current data and future directions for PC integration in HF care.\n \n \n \n Patients with chronic HF, as well as those who are being evaluated for or who have undergone advanced HF surgical therapies such as left ventricular assist device or heart transplantation, have a number of PC needs, including decision-making, symptoms and quality of life, caregiver support, and end-of-life care. Available data primarily supports the use of PC interventions in chronic HF to improve quality of life and symptoms. PC skills and teams may also help address preparedness planning, adverse events, and psychosocial barriers in patients who have had HF surgeries, but more data are needed to determine association with outcomes.\n \n \n \n Patients with HF have tremendous PC needs across the spectrum of disease. Despite this, more data are needed to determine the optimal timing and structure of PC interventions in patients with chronic HF, left ventricular assist device, and heart transplantation. Future steps must be taken in clinical, research, and policy domains in order to optimize care.\n","PeriodicalId":55197,"journal":{"name":"Current Opinion in Cardiology","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Opinion in Cardiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/hco.0000000000001120","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Heart failure (HF) is characterized by significant symptoms, compromised quality of life, frequent hospital admissions, and high mortality, and is therefore well suited to palliative care (PC) intervention. This review elaborates the current PC needs of patients with HF across the spectrum of disease, including patients who undergo advanced HF surgical therapies, and reviews the current data and future directions for PC integration in HF care.
Patients with chronic HF, as well as those who are being evaluated for or who have undergone advanced HF surgical therapies such as left ventricular assist device or heart transplantation, have a number of PC needs, including decision-making, symptoms and quality of life, caregiver support, and end-of-life care. Available data primarily supports the use of PC interventions in chronic HF to improve quality of life and symptoms. PC skills and teams may also help address preparedness planning, adverse events, and psychosocial barriers in patients who have had HF surgeries, but more data are needed to determine association with outcomes.
Patients with HF have tremendous PC needs across the spectrum of disease. Despite this, more data are needed to determine the optimal timing and structure of PC interventions in patients with chronic HF, left ventricular assist device, and heart transplantation. Future steps must be taken in clinical, research, and policy domains in order to optimize care.
心力衰竭(HF)的特点是症状明显、生活质量下降、频繁入院和死亡率高,因此非常适合姑息治疗(PC)干预。本综述详细阐述了目前不同病程的高血压患者(包括接受晚期高血压手术治疗的患者)对姑息治疗的需求,并回顾了将姑息治疗整合到高血压护理中的现有数据和未来方向。 慢性心房颤动患者以及正在接受评估或已接受左心室辅助装置或心脏移植等先进心房颤动手术疗法的患者有许多 PC 需求,包括决策、症状和生活质量、护理人员支持和临终关怀。现有数据主要支持在慢性高血压患者中使用 PC 干预来改善生活质量和症状。个人护理技能和团队还可帮助接受过心房颤动手术的患者解决准备规划、不良事件和社会心理障碍等问题,但还需要更多数据来确定其与预后的关系。 心房颤动患者在整个病程中都有巨大的个人护理需求。尽管如此,仍需要更多数据来确定对慢性心房颤动、左心室辅助装置和心脏移植患者进行 PC 干预的最佳时机和结构。未来必须在临床、研究和政策领域采取措施,以优化护理。
期刊介绍:
Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.