Palliative and end-of-life care for heart failure patients in an aging society

The Korean Journal of Internal Medicine
Takahiro OkumuraToyoaki Murohara

Abstract

The populations of Asian countries are expected to age rapidly in the near future, with a dramatic increase in the number of heart failure (HF) patients also anticipated. The need for palliative and end-of-life care for elderly patients with advanced HF is currently recognized in aging societies. However, palliative care and active treatment for HF are not mutually exclusive, and palliative care should be provided to reduce suffering occurring at any stage of symptomatic HF after the point of diagnosis. HF patients are at high risk of sudden cardiac death from the early stages of the disease onwards. The decision of whether to perform cardiopulmonary resuscitation in the event of an emergency is challenging, especially in elderly HF patients, because of the difficulty in accurately predicting the prognosis of the condition. Furthermore, advanced HF patients are often fitted with a device, and device deactivation at the end of life is a complicated process. Treatment strategies should thus be discussed by multi-disciplinary teams, including palliative experts, and should consider patient directives to address the problems discussed above. Open communication with the HF patient regarding the expected prognosis, course, and treatm...Continue Reading

References

May 16, 2000·Journal of the American Geriatrics Society·J W LevensonR S Phillips
Dec 11, 2002·Circulation·Donald M Lloyd-JonesUNKNOWN Framingham Heart Study
Mar 27, 2003·Drugs·Gysèle S BleuminkBruno H Ch Stricker
Jun 18, 2004·The New England Journal of Medicine·R Sean Morrison, Diane E Meier
Nov 13, 2004·The American Journal of Geriatric Cardiology·Mary Clare DerflerPaul J Hauptman
Dec 8, 2004·Annals of Internal Medicine·Nathan E GoldsteinHarlan M Krumholz
Mar 19, 2005·BMJ : British Medical Journal·Scott A MurrayAziz Sheikh
Feb 28, 2006·Journal of Palliative Medicine·Elizabeth B Lamont
Feb 28, 2006·Journal of Cardiac Failure·Jeffrey J TeutebergLynne W Stevenson
Jun 27, 2006·Transplantation Proceedings·R HuangJ Butler
Dec 13, 2006·American Heart Journal·Paul J HauptmanMark A Schnitzler
Jul 10, 2007·Journal of Pain and Symptom Management·Scott A MurrayAziz Sheikh
Nov 21, 2007·International Journal of Cardiology·David B BekelmanJohn S Rumsfeld
Feb 12, 2008·The American Journal of Medicine·Paul J HauptmanThomas E Burroughs
Feb 26, 2008·Circulation Journal : Official Journal of the Japanese Circulation Society·Yuji OkuraYoshifusa Aizawa
Apr 9, 2008·American Journal of Respiratory and Critical Care Medicine·Paul N LankenUNKNOWN ATS End-of-Life Care Task Force
Jun 5, 2008·JAMA : the Journal of the American Medical Association·Larry A AllenG Michael Felker
Jan 20, 2009·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Lorraine S EvangelistaKathleen Dracup
Apr 22, 2009·Current Cardiology Reports·Sarah J Goodlin
Apr 2, 2010·The New England Journal of Medicine·Thomas M GillHeather G Allore
Apr 2, 2010·The New England Journal of Medicine·Maria J SilveiraKenneth M Langa
Jul 6, 2010·American Heart Journal·Soko SetoguchiLynne Warner Stevenson
Nov 10, 2011·European Heart Journal·Hans-Peter Brunner-La RoccaUNKNOWN TIME-CHF Investigators
Mar 7, 2012·Circulation·Larry A AllenUNKNOWN Council on Cardiovascular Surgery and Anesthesia
Sep 6, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Bregje ThoonsenKris Vissers
Aug 21, 2013·Circulation Journal : Official Journal of the Japanese Circulation Society·Yasuhiko Sakata, Hiroaki Shimokawa
Feb 5, 2014·Journal of the American College of Cardiology·Andrew P AmbrosyMihai Gheorghiade
Mar 22, 2014·Palliative Medicine·Arianne Brinkman-StoppelenburgAgnes van der Heide
Jun 1, 2012·BMJ Supportive & Palliative Care·Stephen J PettitFrances S Mair
Feb 28, 2015·Journal of cardiology·Yukihito Sato
Apr 29, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Shin-Ichi MomomuraUNKNOWN SAVIOR-C investigators
May 9, 2015·Journal of Cardiac Failure·James C FangUNKNOWN Heart Failure Society of America Guidelines Committee
Jul 30, 2015·European Journal of Heart Failure·Hiroaki ShimokawaYasuhiko Sakata
Sep 2, 2015·The New England Journal of Medicine·Martin R CowieHelmut Teschler
Oct 16, 2015·Heart Failure Clinics·Naoki Sato
Jan 16, 2016·The Korean Journal of Internal Medicine·Shir Lynn Lim, Carolyn Su Ping Lam
Jan 17, 2016·Progress in Cardiovascular Diseases·Roxana GhashghaeiEric Adler
Feb 3, 2016·Current Heart Failure Reports·Sara E WordinghamKeith M Swetz

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Citations

Aug 12, 2021·SAGE Open Medical Case Reports·Tomohiro NakamuraShin-Ichi Momomura
Oct 15, 2021·Wiener medizinische Wochenschrift·Rosemarie Plötzeneder, Bernhard Iglseder

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