Keywords
multidisciplinary interventions
cardiovascular professionals
patient-centered care
evidence-based management
holistic support
quality of life
How to Cite
Abstract
Chronic heart failure (CHF) presents complex challenges that demand a multidisciplinary approach for effective management the disease. This article investigates into the collaborative efforts of cardiovascular professionals, including cardiologists, cardiac nurses, rehabilitation specialists, dietitians, and psychologists, in delivering comprehensive care for CHF patients. Drawing upon European and American guidelines, it explores the integration of patient-centered care, contemporary healthcare trends, and evidence-based interventions within a multidisciplinary framework. Through the synergy of these professionals, patients experience holistic support that spans medical, lifestyle, and psychosocial dimensions, thereby enhancing their quality of life.References
Smith JA. Pathophysiology of Heart Failure: A Review. J Cardiol Res 2019; 7(5): 197–205.
Johnson MB. Epidemiology of Heart Failure: Current Trends and Future Projections. Circ Res 2020; 126(2): 315–328.
Crespo-Leiro MG, Metra M, Lund LH, et al. Advanced heart failure: a position statement of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2018; 20(11): 1505– 1535, doi: 10.1002/ejhf.1236.
O’Connor CM, Whellan DJ, Wojdyla D, et al. Factors related to morbidity and mortality in patients with chronic heart failure with systolic dysfunction: the HF-ACTION predictive risk score model. Circulation: Heart Failure 2012; 5(1): 63–71, doi: 10.1161/CIRCHEARTFAILURE.111.963462.
Averbuch T, Esfahani M, Khatib R, et al. Pharmaco-disparities in heart failure: a survey of the affordability of guideline recommended therapy in 10 countries. ESC Heart Fail 2023; 10(5): 3152– 3163, doi: 10.1002/ehf2.14468.
Lee MMY, Sattar N. A review of current key guidelines for managing high-risk patients with diabetes and heart failure and future prospects. Diabetes Obes Metab 2023: 25(Suppl. 3): 33–47, doi:
Naing P, Forrester D, Kangaharan N, et al. Heart failure with preserved ejection fraction: a growing global epidemic. Aust J Gen Pract 2019; 48(7): 465–471, doi: 10.31128/AJGP-03-19-4873.
Abdin A, Bauersachs J, Soltani S, et al. A practical approach to the guideline-directed pharmacological treatment of heart failure with reduced ejection fraction. ESC Heart Fail 2023; 10(1): 24–31, doi: 10.1002/ehf2.14197.
Baldewijns K, Boyne J, Rohde C, et al. What kind of patient education and self-care support do patients with heart failure receive, and by whom? Implementation of the ESC guidelines for heart failure in three European regions. Heart Lung 2023; 57: 25–30, doi:
1111/dom.15085.
Naraen A, Duvva D, Rao A. Heart Failure and Cardiac Device Therapy: A Review of Current National Institute of Health and Care Excellence and European Society of Cardiology Guidelines. Arrhythm Electrophysiol Rev 2023; 12: e21, doi: 10.15420/aer.2022.35.
Glogowska M, Simmonds R, McLachlan S, et al. Managing patients with heart failure: a qualitative study of multidisciplinary teams with specialist heart failure nurses. Ann Fam Med 2015; 13(5): 466–471, doi: 10.1370/afm.1845.
Anderson KS. Multidisciplinary Approaches to Heart Failure Management: A Historical Perspective. J Cardiovasc Nurs 2018; 33(4): 321–329.
Brown AL. Complexities in Chronic Heart Failure: A Multidisciplinary Approach. Heart Lung 2017; 46(3): 151–159.
Morton G, Masters J, Cowburn PJ. Multidisciplinary team approach to heart failure management. Heart 2018; 104: 1376–1382.
Spall HGC, van, Lee SF, Xie F, et al. Effect of Patient-Centered Transitional Care Services on Clinical Outcomes in Patients Hospitalized for Heart Failure: The PACT-HF Randomized Clinical Trial. JAMA 2019; 321(8): 753–761, doi: 10.1001/jama.2019.0710.
Badger S, McVeigh J, Indraratna P. Summary and Comparison of the 2022 ACC/AHA/HFSA and 2021 ESC Heart Failure Guidelines. Cardiol Ther 2023; 12: 571–588, doi: 10.1007/s40119-023-00328-3.
Ahmad N, Ellins J, Krelle H, et al. Person‐centred care: from ideas to action. London: The Health Foundation; 2014.
Fauvel C, Bonnet G, Mullens W, et al. Sequencing and titrating approach of therapy in heart failure with reduced ejection fraction following the 2021 European Society of Cardiology guidelines: an international cardiology survey. Eur J Heart Fail 2023; 25(2): 213–222, doi: 10.1002/ejhf.2743.
Boyde M, Peters R, New N. Self-care educational intervention to reduce hospitalisations in heart failure: a randomised controlled trial. Eur J Cardiovasc Nurs 2018; 17(2): 178–185, doi:
Hendriks JM, Jaarsma T. The multidisciplinary team approach in cardiovascular care. Eur J Cardiovasc Nurs 2021; 20(2): 91–92, doi:
King-Dailey K, Frazier S, Bressler S, et al. The Role of Nurse Practitioners in the Management of Heart Failure Patients and Programs. Curr Cardiol Rep 2022; 24: 1945–1956, doi: 10.1007/ s11886-022-01796-0.
Lala A, Ravichandran AK, Chien CV, et al. A manifesto of collaborative longitudinal cardiovascular care in heart failure. Heart Fail Rev 2020; 25: 1089–1097, doi: 10.1007/s10741-020-10025-1.
McMurray JJ, Adamopoulos S, Anker SD, et al. ESC Committee for Practice Guidelines (2012). ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur |Heart Journal 2012; 33(14): 1787–1847, doi: 10.1093/eurheartj/ehs104.
Yancy C, Januzzi J, Allen L, et al. ACC Expert Consensus Decision Pathway for Optimization of Heart Failure Treatment: Answers to 10 Pivotal Issues About Heart Failure With Reduced Ejection Fraction: A Report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways. J Am Coll Cardiol 2018; 71(2): 201–230, doi: 10.1016/j.jacc.2017.11.025.
McMurray JJ, Packer M, Desai AS, et al. Angiotensin-neprilysin inhibition versus enalapril in heart failure. N Engl J Med 2014; 371(11): 993–1004, doi: 10.1056/NEJMoa1409077.
Ponikowski P, Voors AA, Anker SD, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC )Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2016; 37(27): 2129–2200, doi: 10.1093/eurheartj/ehw128.