Polypharmacy in Older People with Heart Failure: Roles of the Geriatrician and Pharmacist
Heart failure (HF) is a common health condition that typically affects older adults. Many people with HF are cared for on an inpatient basis, by non-cardiologists, such as acute medical physicians, geriatricians and other physicians. Treatment options for HF are ever increasing, and adherence to gui...
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| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2022-12-01
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| Series: | Cardiac Failure Review |
| Online Access: | https://www.cfrjournal.com/articleindex/cfr.2022.14 |
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| _version_ | 1850256403216728064 |
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| author | Maria Stefil Matthew Dixon Jameela Bahar Schabnam Saied Knievel Mashida Olivia Heron Eduard Shantsila Lauren Walker Asangaedem Akpan Gregory YH Lip Rajiv Sankaranarayanan |
| author_facet | Maria Stefil Matthew Dixon Jameela Bahar Schabnam Saied Knievel Mashida Olivia Heron Eduard Shantsila Lauren Walker Asangaedem Akpan Gregory YH Lip Rajiv Sankaranarayanan |
| author_sort | Maria Stefil |
| collection | DOAJ |
| description | Heart failure (HF) is a common health condition that typically affects older adults. Many people with HF are cared for on an inpatient basis, by non-cardiologists, such as acute medical physicians, geriatricians and other physicians. Treatment options for HF are ever increasing, and adherence to guidelines for prognostic therapy contributes to polypharmacy, which is very familiar to clinicians who care for older people. This article explores the recent trials in both HF with reduced ejection fraction and HF with preserved ejection fraction and the limitations of international guidance in their management with respect to older people. In addition, this article discusses the challenge of managing polypharmacy in those with advanced age, and the importance of involving a geriatrician and pharmacist in the HF multidisciplinary team to provide a holistic and person-centred approach to optimisation of HF therapies. |
| format | Article |
| id | doaj-art-d91c706ea6a347c5bd1f68a8be4a6654 |
| institution | OA Journals |
| issn | 2057-7540 2057-7559 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Cardiac Failure Review |
| spelling | doaj-art-d91c706ea6a347c5bd1f68a8be4a66542025-08-20T01:56:39ZengRadcliffe Medical MediaCardiac Failure Review2057-75402057-75592022-12-01810.15420/cfr.2022.14Polypharmacy in Older People with Heart Failure: Roles of the Geriatrician and PharmacistMaria Stefil0Matthew Dixon1Jameela Bahar2Schabnam Saied3Knievel Mashida4Olivia Heron5Eduard Shantsila6Lauren Walker7Asangaedem Akpan8Gregory YH Lip9Rajiv Sankaranarayanan10Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK; Department of Cardiology, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK; Department of Cardiology, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UKDepartment of Medicine for the Elderly, Wirral University Teaching Hospital NHS Foundation Trust, Wirral, UKSchool of Medicine, University of Liverpool, Liverpool, UKSchool of Medicine, University of Liverpool, Liverpool, UKSchool of Medicine, University of Liverpool, Liverpool, UKSchool of Medicine, University of Liverpool, Liverpool, UKDepartment of Primary Care and Mental Health, University of Liverpool, Liverpool, UKInstitute of Systems, Molecular and Integrative Biology (ISMIB), University of Liverpool, Liverpool, UKLiverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK; Department of Cardiology, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UKLiverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK; Department of Cardiology, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK; Department of Clinical Medicine, Aalborg University, Aalborg, DenmarkLiverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK; Department of Cardiology, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UKHeart failure (HF) is a common health condition that typically affects older adults. Many people with HF are cared for on an inpatient basis, by non-cardiologists, such as acute medical physicians, geriatricians and other physicians. Treatment options for HF are ever increasing, and adherence to guidelines for prognostic therapy contributes to polypharmacy, which is very familiar to clinicians who care for older people. This article explores the recent trials in both HF with reduced ejection fraction and HF with preserved ejection fraction and the limitations of international guidance in their management with respect to older people. In addition, this article discusses the challenge of managing polypharmacy in those with advanced age, and the importance of involving a geriatrician and pharmacist in the HF multidisciplinary team to provide a holistic and person-centred approach to optimisation of HF therapies.https://www.cfrjournal.com/articleindex/cfr.2022.14 |
| spellingShingle | Maria Stefil Matthew Dixon Jameela Bahar Schabnam Saied Knievel Mashida Olivia Heron Eduard Shantsila Lauren Walker Asangaedem Akpan Gregory YH Lip Rajiv Sankaranarayanan Polypharmacy in Older People with Heart Failure: Roles of the Geriatrician and Pharmacist Cardiac Failure Review |
| title | Polypharmacy in Older People with Heart Failure: Roles of the Geriatrician and Pharmacist |
| title_full | Polypharmacy in Older People with Heart Failure: Roles of the Geriatrician and Pharmacist |
| title_fullStr | Polypharmacy in Older People with Heart Failure: Roles of the Geriatrician and Pharmacist |
| title_full_unstemmed | Polypharmacy in Older People with Heart Failure: Roles of the Geriatrician and Pharmacist |
| title_short | Polypharmacy in Older People with Heart Failure: Roles of the Geriatrician and Pharmacist |
| title_sort | polypharmacy in older people with heart failure roles of the geriatrician and pharmacist |
| url | https://www.cfrjournal.com/articleindex/cfr.2022.14 |
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