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J Cardiovasc Med (Hagerstown). 2010 Dec;11(12):919-27. doi: 10.2459/JCM.0b013e32833d3566.

Heart failure therapy: beyond the guidelines.

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Cedars Sinai Heart Institute, Cedars Sinai Medical Center, 8700 Beverly Blvd., Los Angeles, CA 90048, USA.


Heart failure is a chronic and debilitating disease responsible for high cardiac morbidity and mortality in the world and is associated with over 290 000 deaths in the United States each year. This article reviews palliative care and self-care, which are critical components of heart failure management that are inadequately defined in the current American College of Cardiology/American Heart Association Guidelines for the Diagnosis and Management of Heart Failure. Palliative care describes a multidisciplinary approach to the treatment of heart failure therapy that addresses both the symptomatic and psychosocial aspects of the disease. Self-care aims to maintain disease stability and prevent clinical decline through a variety of patient-based behavioral and lifestyle modifications.

[Indexed for MEDLINE]

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