Journal
HEART FAILURE CLINICS
Volume 12, Issue 3, Pages 323-+Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.hfc.2016.03.001
Keywords
Heart failure; Cardiomyopathy; Prognosis; Risk assessment; Clinical decision making
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Heart failure is a complex clinical syndrome. The natural history of this syndrome is progressive. Advanced heart failure is present when a patient has signs and symptoms of heart failure that are refractory to therapy. Patients with the most advanced disease and worst prognosis can be identified using iterative, integrated clinical assessment of symptom burden, effort intolerance, and cardiac dysfunction. Recognizing the transition to advanced heart failure is necessary for referral to an advanced heart disease program. Advanced heart disease specialists can tailor medical therapies, perform risk stratification, and evaluate candidacy for mechanical support, transplantation, or end-of-life palliative treatment options.
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