Document Type

Journal Article

Date of this Version

10-10-2017

Embargo Date

10-11-2018

Publication Source

Journal of the American College of Cardiology

Volume

70

Issue

15

Start Page

1919

Last Page

1930

DOI

10.1016/j.jacc.2017.08.036

Abstract

Patients with heart failure (HF) and their families experience stress and suffering from a variety of sources over the course of the HF experience. Palliative care is an interdisciplinary service and an overall approach to care that improves quality of life and alleviates suffering for those living with serious illness, regardless of prognosis. In this review, we synthesize the evidence from randomized clinical trials of palliative care interventions in HF. While the evidence base for palliative care in HF is promising, it is still in its infancy and requires additional high-quality, methodologically sound studies to clearly elucidate the role of palliative care for patients and families living with the burdens of HF. Yet, an increase in attention to primary palliative care (e.g., basic physical and emotional symptom management, advance care planning), provided by primary care and cardiology clinicians, may be a vehicle to address unmet palliative needs earlier and throughout the illness course.

Copyright/Permission Statement

© 2017, published by Elsevier on behalf of the American College of Cardiology Foundation. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/

Keywords

heart failure, hospice, palliative care, quality of care, quality of life

Available for download on Thursday, October 11, 2018

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Date Posted: 25 August 2018

This document has been peer reviewed.