AI Article Synopsis
- Nearly 6.5 million Americans over 20 have heart failure, which is the top reason for hospital stays in those over 65 and has a 50% chance of mortality within 5 years.
- Treatment options for advanced heart failure are primarily limited to heart transplants, mechanical support systems, or palliative care due to the complexity of the condition.
- The selection process for treatment involves navigating ethical and clinical challenges, leading to debates that help ensure patients receive fair and equitable care.
Article Abstract
It is estimated that nearly 6.5 million Americans over the age of 20 suffer from heart failure. Heart failure is the leading cause of hospitalization in patients over 65 years of age, and carries with it a 5-year mortality of nearly 50%. Despite advances in medical therapy, treatment for medically refractory end-stage, advanced heart failure is limited to heart transplant, mechanical circulatory support (MCS), or palliative care only. Patient selection in advanced heart failure (AHF) therapy is complex. Not only are the patients medically complicated, but providers are biased by their individual and collective experience with similar and dissimilar patients. Clinicians caring for AHF patients balance competing clinical and ethical demands, which appropriately leads to professional debate and disagreement. These debates are constructive because they clarify ethical and professional commitments and help to ensure fair and equitable treatment of AHF patients.
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| http://dx.doi.org/10.1111/ctr.13489 | DOI Listing |
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