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Editorial
. 2020 Nov;25(6):1089-1097.
doi: 10.1007/s10741-020-10025-1. Epub 2020 Oct 6.

A manifesto of collaborative longitudinal cardiovascular care in heart failure

Anuradha Lala  1   2 , Ashwin K Ravichandran  3 , Christopher V Chien  4 , Arthur R Garan  5 , Benjamin D'Souza  6 , Michael Z Tong  7 , Ajay Srivastava  8 , Jared J Herr  9 , Dale Yoo  10 , Robert T Cole  11 , Farooq H Sheikh  12 , Travis Abicht  13 , Navin Kapur  14 , Scott Silvestry  15 , Paolo C Colombo  16 ; IDEAL-HF
Affiliations
Editorial

A manifesto of collaborative longitudinal cardiovascular care in heart failure

Anuradha Lala et al. Heart Fail Rev. 2020 Nov.

Abstract

In this document, we outline the challenges faced by patients and clinicians in heart failure, specifically centered around the needed coordination of care among the various subspecialties within cardiovascular medicine. We call for a more organized and collaborative effort among clinicians in primary care, general cardiology, electrophysiology, interventional cardiology, cardiothoracic surgery, cardiac imaging, and heart failure-all caring for mutual patients. Care is contextualized within the framework of two phases: a cardiomyopathy phase and an advanced heart failure phase, each of which lends to different considerations in therapy. Ultimately multidisciplinary coordinated care within cardiovascular medicine may lead to greater patient and clinician satisfaction as well as improved outcomes, but this remains to be investigated.

Keywords: Advanced therapies; Cardiomyopathy; Cardiovascular medicine; Heart failure; Multidisciplinary.

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Figures

Fig. 1
Fig. 1
Responses provided by physicians, advanced practice providers, registered nurses, and other healthcare providers to questionnaire regarding heart failure care
Fig. 2
Fig. 2
The American College of Cardiology/American Heart Association stages of systolic heart failure and treatment (adopted from Jessup M. NEJM. 2003; 348. 2007–2018)
Fig. 3
Fig. 3
“Jungle gym” construct which allows for horizontal as well as vertical movement to denote progress in the management of heart failure patients
Fig. 4
Fig. 4
The web of collaborative care within cardiovascular medicine chronic heart failure (cardiomyopathy) phase
Fig. 5
Fig. 5
The web of collaborative care within cardiovascular medicine advanced heart failure (heart failure) phase
See this image and copyright information in PMC

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