@article{d1cb5cfd54dd474b8bc3b1d33d2940b5,
title = "Integration of a palliative approach into heart failure care: a European Society of Cardiology Heart Failure Associationposition paper",
abstract = "The Heart Failure Association of the European Society of Cardiology has published a previous position paper and various guidelines over the past decade recognizing the value of palliative care for those affected by this burdensome condition. Integrating palliative care into evidence-based heart failure management remains challenging for many professionals, as it includes the identification of palliative care needs, symptom control, adjustment of drug and device therapy, advance care planning, family and informal caregiver support, and trying to ensure a 'good death'. This new position paper aims to provide day-to-day practical clinical guidance on these topics, supporting the coordinated provision of palliation strategies as goals of care fluctuate along the heart failure disease trajectory. The specific components of palliative care for symptom alleviation, spiritual and psychosocial support, and the appropriate modification of guideline-directed treatment protocols, including drug deprescription and device deactivation, are described for the chronic, crisis and terminal phases of heart failure.",
keywords = "Heart failure, Palliative care, Clinical guidance, IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR, PRESERVED EJECTION FRACTION, VENTRICULAR ASSIST DEVICES, OF-LIFE CARE, CARDIOVASCULAR-DISEASE, SCIENTIFIC STATEMENT, EUROPEAN ASSOCIATION, ELDERLY-PATIENTS, HEALTH-STATUS, OLDER-PEOPLE",
author = "Loreena Hill and {Prager Geller}, Tal and Resham Baruah and Beattie, {James M.} and Josiane Boyne and {de Stoutz}, Noemi and {Di Stolfo}, Giuseppe and Ekaterini Lambrinou and Skibelund, {Anne K.} and Izabella Uchmanowicz and Rutten, {Frans H.} and Jelena Celutkiene and Piepoli, {Massimo Francesco} and Jankowska, {Ewa A.} and Ovidiu Chioncel and {Ben Gal}, Tuvia and Seferovic, {Petar M.} and Frank Ruschitzka and Coats, {Andrew J. S.} and Anna Stromberg and Tiny Jaarsma",
note = "Funding Information: L.H. personal fees from Novartis; R.B. personal fees from Novartis, Boehringer; J.M.B. personal fees from Vifor; G.D.S. grants from Italian Health Ministry, Daiichi Sankyo, Boston Scientific, Lusofarmaco and personal fees from Novartis; F.H.R. grants from Boehringer Ingelheim, Daiichi Sankyo, Pfizer, Bayer; J.{\v C}. personal fees from Servier, Novartis, AstraZeneca, Boehringer Ingelheim, Amgen; O.C. grants from Servier, Novartis, Vifor, Boehringer Ingelheim; F.R. no personal payments, all payments directly to the University of Zurich since 2018; A.J.S.C. personal fees from AstraZeneca, Bayer, Menarini, Novartis, Nutricia, Servier, Vifor, Acrtimed, Cardiac Dimensions, Enopace, Impulse Dynamics, CVRx, Faraday, Gore, Respicardia, Corvia, Arena, ESN Cleer. The other authors have nothing to disclose. Conflict of interest: Funding Information: This paper has been supported by the Patient Forum of the European Society of Cardiology. Funding Information: This paper has been supported by the Patient Forum of the European Society of Cardiology. Conflict of interest: L.H. personal fees from Novartis; R.B. personal fees from Novartis, Boehringer; J.M.B. personal fees from Vifor; G.D.S. grants from Italian Health Ministry, Daiichi Sankyo, Boston Scientific, Lusofarmaco and personal fees from Novartis; F.H.R. grants from Boehringer Ingelheim, Daiichi Sankyo, Pfizer, Bayer; J.?. personal fees from Servier, Novartis, AstraZeneca, Boehringer Ingelheim, Amgen; O.C. grants from Servier, Novartis, Vifor, Boehringer Ingelheim; F.R. no personal payments, all payments directly to the University of Zurich since 2018; A.J.S.C. personal fees from AstraZeneca, Bayer, Menarini, Novartis, Nutricia, Servier, Vifor, Acrtimed, Cardiac Dimensions, Enopace, Impulse Dynamics, CVRx, Faraday, Gore, Respicardia, Corvia, Arena, ESN Cleer. The other authors have nothing to disclose. Publisher Copyright: {\textcopyright} 2020 The Authors. European Journal of Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.",
year = "2020",
month = dec,
doi = "10.1002/ejhf.1994",
language = "English",
volume = "22",
pages = "2327--2339",
journal = "European journal of heart failure",
issn = "1388-9842",
publisher = "John Wiley & Sons Inc.",
number = "12",
}