• Lisa Lemond and Larry A Allen.
• Division of Cardiology, Department of Medicine, University of Colorado Denver, Anschutz Medical Center, Aurora, USA.
• Prog Cardiovasc Dis. 2011 Sep 1;54(2):168-78.

AbstractAdvanced heart failure (HF) is a disease process that carries a high burden of symptoms, suffering, and death. Palliative care can complement traditional care to improve symptom amelioration, patient-caregiver communication, emotional support, and medical decision making. Despite a growing body of evidence supporting the integration of palliative care into the overall care of patients with HF and some recent evidence of increased use, palliative therapies remain underused in the treatment of advanced HF. Review of the literature reveals that although barriers to integrating palliative care are not fully understood, difficult prognostication combined with caregiver inexperience with end-of-life issues specific to advanced HF is likely to contribute. In this review, we have outlined the general need for palliative care in advanced HF, detailed how palliative measures can be integrated into the care of those having this disease, and explored end-of-life issues specific to these patients.Copyright © 2011 Elsevier Inc. All rights reserved.

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