End-of-life care in heart failure

被引：0
作者：
Goodlin S.J. [1 ]
机构：
[1] Patient-Centered Education and Research, Salt Lake City, UT 84103
来源：
Current Cardiology Reports | 2009年 / 11卷 / 3期
关键词：
Heart Failure; Palliative Care; Left Ventricular Ejection Fraction; Continuous Positive Airway Pressure; Chronic Heart Failure;
D O I：
10.1007/s11886-009-0027-7
中图分类号：
学科分类号：
摘要：
The clinical syndrome of heart failure is increasing in prevalence, as is the number of elderly persons with heart failure. Increasing frailty and progression of heart failure in large numbers of patients means clinicians are increasingly challenged to provide end-of-life care for heart failure patients. End-of-life care has been little studied, but management can be understood from early clinical trials of advanced heart failure. Evidence-based heart failure medications, including angiotensin-converting enzyme inhibitors and β blockers, improve symptoms in patients with advanced heart failure and depressed ejection fraction and should usually be continued in end-stage disease. Patients also should have ongoing meticulous management of fluid status to maximize quality of life. End-of-life care should be planned with the patient and family and should incorporate comprehensive symptom management, bereavement support, and spiritual support. Ongoing communication with patients and families about prognosis can ease the planning of care when the end of life nears. © Current Medicine Group, LLC 2009.
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页码：184 / 191
页数：7
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  • [1] Ko D.T., Alter D.A., Austin P.C., Et al., Life expectancy after an index hospitalization for patients with heart failure: A population-based study, Am Heart J, 155, pp. 324-331, (2008)
  • [2] Mozaffarian D., Anker S.D., Anand I., Et al., Prediction of mode of death in heart failure: The Seattle Heart Failure Model, Circulation, 116, pp. 392-398, (2007)
  • [3] Remme W.J., Cleland J.G., Erhardt L., Et al., Effect of carvedilol and metoprolol on the mode of death in patients with heart failure, Eur J Heart Fail, 9, pp. 1128-1135, (2007)
  • [4] Teuteberg J.J., Lewis E.F., Nohria A., Et al., Characteristics of patients who die with heart failure and a low ejection fraction in the new millennium, J Card Fail, 12, pp. 47-53, (2006)
  • [5] Derfler M.C., Jacob M., Wolf R.E., Et al., Mode of death from congestive heart failure: Implications for clinical management, Am J Geriatr Cardiol, 13, pp. 299-304, (2004)
  • [6] Carson P., Anand I., O'Connor C., Et al., Mode of death in advanced heart failure: The Comparison of Medical, Pacing, and Defibrillation Therapies in Heart Failure (COMPANION) trial, J Am Coll Cardiol, 46, pp. 2329-2334, (2005)
  • [7] Kim D.H., Hunt S.A., Heart failure management: Caregiver versus care plan, Circulation, 108, pp. 129-131, (2003)
  • [8] Komajda M., Hanon O., Hochadel M., Et al., Management of octogenarians hospitalized for heart failure in Euro Heart Failure Survey 1, Eur Heart J, 28, pp. 1310-1318, (2007)
  • [9] Yamoski L.M., Hasselblad V., Moser D.K., Et al., Prediction of rehospitalization and death in severe heart failure by physicians and nurses in the ESCAPE trial, J Card Fail, 13, pp. 8-13, (2007)
  • [10] Lee D.S., Austin P.C., Rouleau J.L., Et al., Predicting mortality among patients hospitalized for heart failure: Derivation and validation of a clinical model, JAMA, 290, pp. 2581-2587, (2003)
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