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Palliative care issues in heart transplant candidates
Demian Muhandiramge1, Dioma U Udeoji, Olivia S Biswas
1aDSMI, Beverly Hills bCedars Sinai Medical Center, Los Angeles, California cUSA, St Joseph Hospital, Chicago, Illinois, USA.
Palliative care significantly improves quality of life for heart failure patients. Integrating palliative care early, especially for heart transplant candidates, is crucial for managing chronic heart failure symptoms and improving end-of-life care.
Area of Science:
- Cardiology
- Palliative Medicine
- Oncology
Background:
- Heart failure presents a significant symptom burden and mortality risk, comparable to malignant diseases.
- Specialized palliative care is currently underutilized in heart failure management.
- Chronic heart failure progressively diminishes patients' quality of life.
Purpose of the Study:
- To review the current literature on palliative care in heart failure.
- To identify management strategies and research gaps in palliative heart failure care.
- To emphasize the importance of early palliative care integration.
Main Methods:
- A comprehensive literature search was performed using PubMed and MEDLINE.
- Keywords included "palliative care" and "heart failure".
- 905 articles were identified, with 78 focusing on clinical trials.
Main Results:
- Recommended palliative care strategies include lifestyle modification, exercise, pain and sleep management, and end-of-life support.
- Limited data exist on palliative care for heart transplant candidates pre-transplant.
- A complex set of management tools and strategies were identified.
Conclusions:
- Palliative care integration is essential for managing chronic heart failure and improving quality of life.
- Early palliative care involvement benefits heart transplant candidates.
- Further research is needed to address gaps in palliative, end-of-life, and hospice care literature.
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